TW201125583A - Anti-EpCAM antibodies that induce apoptosis of cancer cells and methods using same - Google Patents

Anti-EpCAM antibodies that induce apoptosis of cancer cells and methods using same Download PDF

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TW201125583A
TW201125583A TW099145575A TW99145575A TW201125583A TW 201125583 A TW201125583 A TW 201125583A TW 099145575 A TW099145575 A TW 099145575A TW 99145575 A TW99145575 A TW 99145575A TW 201125583 A TW201125583 A TW 201125583A
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antibody
seq
amino acid
acid sequence
human
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Shih-Yao Lin
Leewen Lin
Feng-Lin Chiang
Shu-Hua Lee
Yu-Ying Tsai
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Bioalliance Cv
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K16/00Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
    • C07K16/18Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
    • C07K16/28Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants
    • C07K16/30Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants from tumour cells
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/395Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum
    • A61K39/39533Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials from animals
    • A61K39/39558Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials from animals against tumor tissues, cells, antigens
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/505Medicinal preparations containing antigens or antibodies comprising antibodies
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    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/30Immunoglobulins specific features characterized by aspects of specificity or valency
    • C07K2317/31Immunoglobulins specific features characterized by aspects of specificity or valency multispecific
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/30Immunoglobulins specific features characterized by aspects of specificity or valency
    • C07K2317/34Identification of a linear epitope shorter than 20 amino acid residues or of a conformational epitope defined by amino acid residues
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/60Immunoglobulins specific features characterized by non-natural combinations of immunoglobulin fragments
    • C07K2317/62Immunoglobulins specific features characterized by non-natural combinations of immunoglobulin fragments comprising only variable region components
    • C07K2317/622Single chain antibody (scFv)
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/70Immunoglobulins specific features characterized by effect upon binding to a cell or to an antigen
    • C07K2317/73Inducing cell death, e.g. apoptosis, necrosis or inhibition of cell proliferation
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2319/00Fusion polypeptide
    • C07K2319/20Fusion polypeptide containing a tag with affinity for a non-protein ligand
    • C07K2319/21Fusion polypeptide containing a tag with affinity for a non-protein ligand containing a His-tag
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2319/00Fusion polypeptide
    • C07K2319/31Fusion polypeptide fusions, other than Fc, for prolonged plasma life, e.g. albumin

Abstract

The present invention provides antibodies (such as chimeric and humanized antibodies) specifically bind to epithelial cell adhesion/activating molecule EpCAM expressed on cancer cells and induce cancer cell apoptosis. In addition, the present invention also provides use of the antibodies described herein for diagnostic and therapeutic purposes.

Description

201125583 六、發明說明: 【相互參照之相關申請案】 此申請案主張2009年12月23曰申請之美國臨時申請 案61/289,729以及2010年1月11曰申請之美國臨時申 請案61/294,008之權利,其之全文以參考資料併入本文 中〇 【發明所屬之技術領域】 Φ 本發明係關於辨別癌症細胞上表現之人類上皮細胞黏 著/活化分子(EpCAM)的抗體。這些抗體具有在缺少細胞 毒素接合與免疫效應子功能的情況下於這些癌症細胞中 引發細胞死亡(例如,細胞凋亡)的特性。這些抗體係可 用作診斷與治療劑。 【先前技術】 I 由於上皮細胞黏著/活化分子(EpCAM/CD326,亦稱為 17-1A 抗原、HEA125、MK-1、EGP-2、EGP34、GA733-2、 KSA、TROP-1、KS1/4與ESA)經常高水平表現於大部分 不同來源的癌上’其係癌症治療中最早與最重要的免疫 治療標乾之一。(Herlyn 等人(1979) Proc Natl Acad Sci USA 76:1438-1442 ; Went 等人(2004) Hum Pathol 35:122-128)。此抗原係相當小(3 14胺基酸(aa))的第I型 穿膜畴蛋白’其在演化過程中高度保留且經報導可調節 非鈣離子依賴性同型細胞-細胞黏著(Litvinov等人(1994) 201125583 J Cell Biology 125 : 437-446)。分子係由 26 aa 的短細胞 内區域、23-aa的穿膜區域、242-aa的細胞外區域與23-aa 的信號胜肽所組成’其中α -輔肌動蛋白(α-actinin)的兩個 結合位置呈現於26 aa的短細胞内區域中以連接至肌動 蛋白細胞骨架(Balzar 等人(1998) Mol Cell Biol. 18(8): 4833-4843),而23-aa的信號胜肽係與成熟蛋白分開β EpCAM抗原之細胞外區域具有三個Ν-鍵結醣化位置。 已經報導在某些癌症類型中正常與惡性組織間的差別醣 化狀態(Pauli 等人(2003) Cancer Lett 193 : 25—32) » 其之 三級細胞外結構的目前模式包含3個區域。由於十二個 半胱胺酸殘基存在於其中,咸信有兩個區域類似表皮生 長因子(EGF)-類複本(Balzar 等人(2001) Mol Cell Biol 21 : 257〇·2 58 0)。然則,某些研究指出EpCAM的第二個 EGF-類複本事實上為甲狀腺球蛋白(τγ)區域 (Linnenbach 等人(1989) Proc Natl Acad Sci USA 86: 27-31 ; Chong 與 Speicher (2001) J Biol Chem 276 : 5804-5813)。第三個區域係獨特的半胱胺酸-缺乏區 (CPR) ’不與任何習知分子相關(Baeuerle PA與Gires Ο (2007) Br J Cancer96 : 417-423)。 人類中之EpCAM表現係上皮-專一性的。大部分的上 皮細胞表現EpCAM,除了鱗狀上皮與某些特定上皮細胞 類型(諸如’表皮角質細胞、肝細胞、胃壁細胞與肌上皮 細胞以外(Balzar 等人(1999) J Mol Med 77 : 699-712 ; Momburg 等人(1987) Cancer Res 47 : 2883-2891)。其表 201125583 現在正常上皮細胞之基侧膜上。在上皮來源之腫瘤中, 通常發現較高的表現水平(Balzar等人(1999) J Mol Med 77 : 699-712 ; Winter 等人(2003) Am J Pathol 163 : 2139-2148 ; Went 等人(2004) Hum Pathol 35 : 122-128 ; Went 等人(2006) Br J Cancer 94 : 128-1 35)。由於已知上 皮細胞為人類惡性腫瘤生成中最重要的細胞類型,有超 過90%的所有惡性腫瘤係來自上皮(Birchmeiera等人 (1996) Acta Anatomica; 156 (3); 217-226),當前將 EpCAM 視為最頻繁且最強烈表現的腫瘤-相關抗原之一,且有許 多次獨立地發現其為單株抗體之免疫腫瘤-相關抗原 (Gottlinger 等人(1986) Int J Cancer 38 : 47-53 ; Edwards 等人(1986) Cancer Res 46 : 1306-1317 ; Spurr 等人(1986) Int J Cancer 38 : 63 1-636 ; Momburg 等人(1987) Cancer Res 47.2883-2891 ; Sch6n 等人(1994) J Investig Dermatol 102 : 987-991 ; Bumol 等人(1988) Hybridoma 7 : 407-415 ; Quak 等人(1990) Hybridoma 9 : 377-387)。已 經發現蛋白表現在多種人類腺癌與鱗狀細胞癌上(Went 等人(2004) Hum Pathol 35 : 122-128)。利用免疫組織化 學(IHC)染色與微陣列技術的最近研究已經分析相當大 量具有乳癌、卵巢癌、腎臟癌、食道癌、結腸癌、胃癌、 前列腺癌與肺癌的患者樣本數(Spizzo等人(2004) Breast201125583 VI. Description of the invention: [Reciprocal References] This application claims US Provisional Application No. 61/289,729, filed on December 23, 2009, and US Provisional Application No. 61/294,008, filed on January 11, 2010 RIGHTS, the entire contents of which are incorporated herein by reference. Φ 。 。 Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ Φ These antibodies have the property of eliciting cell death (e.g., apoptosis) in these cancer cells in the absence of cytotoxin binding and immune effector functions. These anti-systems can be used as diagnostic and therapeutic agents. [Prior Art] I Due to epithelial cell adhesion/activation molecules (EpCAM/CD326, also known as 17-1A antigen, HEA125, MK-1, EGP-2, EGP34, GA733-2, KSA, TROP-1, KS1/4 And ESA) is often one of the earliest and most important immunotherapy stems in the treatment of cancer from most different sources of cancer. (Herlyn et al. (1979) Proc Natl Acad Sci USA 76: 1438-1442; Went et al. (2004) Hum Pathol 35: 122-128). This antigen is a relatively small (3 14 amino acid (aa)) type I transmembrane domain protein' which is highly retained during evolution and has been reported to regulate non-calcium ion-dependent homotypic cell-cell adhesion (Litvinov et al. (1994) 201125583 J Cell Biology 125 : 437-446). The molecular system consists of a short intracellular region of 26 aa, a transmembrane region of 23-aa, an extracellular region of 242-aa, and a signal peptide of 23-aa, in which α-actinin (α-actinin) The two binding sites are presented in a short intracellular region of 26 aa to be linked to the actin cytoskeleton (Balzar et al. (1998) Mol Cell Biol. 18(8): 4833-4843), while the 23-aa signal is successful. The peptide line separates from the mature protein. The extracellular region of the β EpCAM antigen has three Ν-bond glycosylation sites. The differential glycation status between normal and malignant tissues has been reported in certain cancer types (Pauli et al. (2003) Cancer Lett 193: 25-32). The current pattern of tertiary extracellular structures contains three regions. Since twelve cysteine residues are present, there are two regions similar to the epidermal growth factor (EGF)-type replica (Balzar et al. (2001) Mol Cell Biol 21: 257 〇 2 58 0). However, some studies indicate that the second EGF-type copy of EpCAM is in fact the thyroglobulin (τγ) region (Linnenbach et al. (1989) Proc Natl Acad Sci USA 86: 27-31; Chong and Speicher (2001) J Biol Chem 276: 5804-5813). The third region is unique in its cysteine-deficient region (CPR)' and is not associated with any of the conventional molecules (Baeuerle PA and Gires Ο (2007) Br J Cancer 96: 417-423). EpCAM in humans is epithelial-specific. Most epithelial cells exhibit EpCAM, except for squamous epithelium and certain epithelial cell types (such as 'epidermal keratinocytes, hepatocytes, parietal cells, and myoepithelial cells (Balzar et al. (1999) J Mol Med 77: 699- 712; Momburg et al. (1987) Cancer Res 47: 2883-2891). Table 201125583 is now on the basal side membrane of normal epithelial cells. In epithelial-derived tumors, higher levels of expression are usually found (Balzar et al. (1999). J Mol Med 77: 699-712; Winter et al. (2003) Am J Pathol 163: 2139-2148; Went et al. (2004) Hum Pathol 35: 122-128; Went et al. (2006) Br J Cancer 94: 128-1 35). Since epithelial cells are known to be the most important cell type in human malignant tumor production, more than 90% of all malignant tumor lines are from the epithelium (Birchmeiera et al. (1996) Acta Anatomica; 156 (3); 217 -226), EpCAM is currently regarded as one of the most frequent and strongest tumor-associated antigens, and many times it has been independently found to be an immune tumor-associated antigen of a monoclonal antibody (Gottlinger et al. (1986) Int J Cancer 38 : 47-5 3; Edwards et al. (1986) Cancer Res 46: 1306-1317; Spurr et al. (1986) Int J Cancer 38: 63 1-636; Momburg et al. (1987) Cancer Res 47.2883-2891; Sch6n et al. (1994) J Investig Dermatol 102: 987-991; Bumol et al. (1988) Hybridoma 7: 407-415; Quak et al. (1990) Hybridoma 9: 377-387). Proteins have been found to be expressed in a variety of human adenocarcinomas and squamous cell carcinomas. (Went et al. (2004) Hum Pathol 35: 122-128). Recent studies using immunohistochemistry (IHC) staining and microarray technology have analyzed a significant number of breast, ovarian, kidney, esophage, colon cancer Number of patients with gastric cancer, prostate cancer and lung cancer (Spizzo et al. (2004) Breast

Cancer Res Treat 86: 207-213; Spizzo 等人(2006) Gynecol Oncol 103 : 483-488 ; Stoecklein 等人(2006) BMC Cancer 6 : 165 ; Kimura 等人(2007) Int J 〇nc〇l. 3〇 : 171_179 ; 201125583Cancer Res Treat 86: 207-213; Spizzo et al. (2006) Gynecol Oncol 103: 483-488; Stoecklein et al. (2006) BMC Cancer 6: 165; Kimura et al. (2007) Int J 〇nc〇l. : 171_179 ; 201125583

Went 等人(2005) Am J Surg Pathol 29 : 83-88 ; Went 等人 (2006) Br J Cancer 94 : 128-135)。數據強調 EpCAM 作為 人類癌症治療之免疫治療標靶的可能性。 儘管密度低於腫瘤細胞(Kim等人(2〇〇4) Clin CancerWent et al. (2005) Am J Surg Pathol 29: 83-88; Went et al. (2006) Br J Cancer 94: 128-135). The data highlights the possibility of EpCAM as a target for immunotherapy for human cancer treatment. Although the density is lower than that of tumor cells (Kim et al. (2〇〇4) Clin Cancer

Res 10: 5464-5 471 ; Osta 等人(2004) Cancer Res 64: 5818- 5824),存在於正常上皮細胞上之EpCAM已經成為以單 株杬-EpCAM抗體標靶治療的持續關注目標。保證的資 料來自於基因轉殖鼠在EpCAM-專一性調控序列下表現 人類EpCAM之研究。研究中顯示出,雖然EpCAM係專 一性表現於正常上皮細胞上,但其之緊密結構讓iv施加 之抗體無法接近,因此造成接近受到限制(McLaughnn 等人(2001) Cancer Res 61 : 4105-4111)。基於這些數據, 將EpCAM視為單株抗體之抗-腫瘤治療的有效標靶。 確實,第一個應用於人類癌症治療的單株抗體事實上 為辨別EpCAM之鼠科IgG2a抗體,稱為mAb 17-1A (後 來命名為依決洛單抗(edrecolomab)與Panorexs) (Sears 等人(1982) Lancet. 1(8275) : 762-765 ; Sears 等人(1984) J Biol Response Mod 3(2) : 138-150)。自此’依決洛單抗 與其他EpCAM-專一性鼠科、嵌合與擬人化單株抗體亦 以天生(單獨)抗體、雜合雙專一性(三功能)抗體或與毒 素、放射性同位素或細胞毒素(IL-2或GM-CSF)之接合體 任一形式來臨床前或臨床試驗用於癌症治療(Velders等 人(1994) Cancer Res 54(7) : 1753-1759 ; Raum 等人 (2001)Cancer Immunol Immunother 50(3) : 141-150 ; Elias 201125583 等人(1994) Am J Respir Crit Care Med 150 : 11 14-1 122 ; Di Paolo 等人(2003) Clin Cancer Res 9 : 2837-2848 ; Andratschke 等人(2007) AntiCancer Res 27(1A): 431-436 ; Xiang 等人(1997) Cancer Res 57(21): 4948-4955 ; Schanzer 等人(2006) J Immunother 29(5): 477-488; Wimberger 等人(2003) Int J Cancer 105(2): 241-248 ; Amann 等人(2008) Cancer Res 68(1): 143-151)。 目前為止,許多針對EpCAM的不同免疫治療方式現在仍 在臨床試驗(Baeuerle PA 與 Gires Ο (2007) Br J Cancer 96 : 417-423)。臨床試驗數據已經指出單獨的抗_EpcAM 抗體(諸如,依決洛單抗(17-1A; Panorexs)與艾迪凱單抗 (adecatumumab)(MT201))僅具有受限的抗-腫瘤效應 (Punt 等人(2002) Lancet 360 . 671 —677 ; Micromet,Inc (2006) Final Data from Two Phase II Trials Indicate Activity of Adecatumumab (MT201) in Breast and Prostate Cancer. Press Release) ’同樣地透過活化補體系 統-依賴型細胞毒性(CDC)與抗體-依賴型細胞毒性 (ADCC)效應(Schwartzberg (2001) Crit Rev OncolRes 10: 5464-5 471; Osta et al. (2004) Cancer Res 64: 5818-5824), EpCAM present on normal epithelial cells has been a continuing focus of treatment with single sputum-EpCAM antibody targets. The data warranted was derived from the study of human EpCAM in genetically transgenic mice under the EpCAM-specific regulatory sequence. Studies have shown that although EpCAM is specifically expressed on normal epithelial cells, its tight structure makes iv-applied antibodies inaccessible, thus causing near-limitation (McLaughnn et al. (2001) Cancer Res 61: 4105-4111). . Based on these data, EpCAM is considered to be an effective target for anti-tumor treatment of monoclonal antibodies. Indeed, the first monoclonal antibody to be used in human cancer therapy is in fact a murine IgG2a antibody that recognizes EpCAM, called mAb 17-1A (later named edrecolomab and Panorexs) (Sears et al. (1982) Lancet. 1 (8275): 762-765; Sears et al. (1984) J Biol Response Mod 3(2): 138-150). Since then, ELISA and other EpCAM-specific murine, chimeric and anthropomorphic antibodies have also been born with (individual) antibodies, heterozygous bispecific (triple function) antibodies or with toxins, radioisotopes or Any form of cytotoxin (IL-2 or GM-CSF) conjugates for preclinical or clinical trials for cancer treatment (Velders et al. (1994) Cancer Res 54(7): 1753-1759; Raum et al. (2001) Cancer Immunol Immunother 50(3): 141-150; Elias 201125583 et al. (1994) Am J Respir Crit Care Med 150: 11 14-1 122; Di Paolo et al. (2003) Clin Cancer Res 9 : 2837-2848; Andratschke et al. (2007) AntiCancer Res 27(1A): 431-436; Xiang et al. (1997) Cancer Res 57(21): 4948-4955; Schanzer et al. (2006) J Immunother 29(5): 477-488 Wimberger et al. (2003) Int J Cancer 105(2): 241-248; Amann et al. (2008) Cancer Res 68(1): 143-151). To date, many different immunotherapeutic approaches to EpCAM are still in clinical trials (Baeuerle PA and Gires Ο (2007) Br J Cancer 96: 417-423). Clinical trial data have indicated that anti-EpcAM antibodies alone (such as ezetuzumab (17-1A; Panorexs) and adidalumumab (MT201) have only limited anti-tumor effects (Punt) Et al. (2002) Lancet 360. 671-677; Micromet, Inc (2006) Final Data from Two Phase II Trials Indicate Activity of Adecatumumab (MT201) in Breast and Prostate Cancer. Press Release) 'Similar to Activated Complement System-Dependent Cytotoxicity (CDC) and antibody-dependent cytotoxicity (ADCC) effects (Schwartzberg (2001) Crit Rev Oncol

Hematol 40(1) : 17-24 ; Naundorf 等人(2002) Int J Cancer 100(1) : 101-110 ; Prang 等人(2005) Br J Cancer 92(2): 342-349; Oberneder 等人(2006) Eur J Cancer 42(15): 2530-253 8)。接合非常有效的效應子機制(諸如,IL_2、 PE毒素或抗_CD3)之抗體似乎具有較佳的抗_腫瘤效應。 然而’某些負面效應亦限制上述抗-EpCAM抗體的全身 201125583 性應用(Baeuerle PA 與 Gires Ο (2007) Br J Cancer 9ό : 417-423) ° 當前抗-EpCAM試驗中顯示的「不足」或「受限」抗 腫瘤效力之實情指出仍需要發展具有改良抗-腫瘤功能 之抗-EpCAM抗體。 本文所揭露之所有參考文獻、刊物與專利申請案在此 以其全文併入。 【發明内容】 本發明係基於抗-EpCAM單株抗體的發現,其可在其 之CDC與ADCC效應子功能之外’在不同的EpCAM-陽性癌症細胞株中引發腫瘤細胞細胞凋亡。在具有 EpCAM-陽性癌症細胞株之小鼠異種移植模式中顯示 具有額外細胞凋亡·引發活性之抗體有利效力。 本發明提供單離單株抗體,該抗體專一性結合人類 EpCAM (序列編號:1)之胺基酸24-63中的表位,其中 單獨抗體在試管内結合癌症細胞之細胞表面上表位後 引發人類癌症細胞之細胞凋亡。某些實施例中,單獨 抗體對人類肺癌細胞株NCI-H358的細胞凋亡-引發活 性係至少約選自12H8、1F10、1G10、2D11、6D11與 4D2組成之群組的抗體之活性的90% ,其中藉由在約 1〇 ug/ml濃度的抗體下培養人類肺癌細胞約i6_2〇小 時來測量細胞凋亡-引發活性。12H8、1F10、1G10、 201125583 2D1 1、6D1 1與4D2的重鏈與輕鏈變異區之胺基酸序歹丨】 係顯示於第3-8圖。NCI-H358係來自支氣管肺泡細胞 癌,而細胞株在2009年10月7曰寄存在American Type Culture Collection 且專利寄存名稱為 PTA-10386。 NCI-H358亦可以存取號CRL-5807自 ATCC取得。 NCI-H358亦寄存在食品工業發展研究所(台灣新竹), 且專利寄存名稱為BCRC960419。 某些實施例中,抗體對人類EpCAM之胺基酸24-63 中之表位的結合取決於人類EpCAM之胺基酸殘基 Q24、E25與N42的存在。某些實施例中,抗體對人類 EpCAM之胺基酸24-63中之表位的結合取決於人類 EpCAM 之胺基酸殘基 Q24、E25、E26、N37、N41、 Q47與T49的存在。某些實施例中,抗體對人類EpCAM 之胺基酸24-63中之表位的結合取決於人類EpCAM之 胺基酸殘基E25、V40與R44的存在。某些實施例中, 抗體對人類EpCAM之胺基酸24-63中之表位的結合 取決於人類EpCAM之胺基酸殘基N41、N43與R44的 存在。某些實施例中,抗體對人類EpCAM之胺基酸 24-63中之表位的結合取決於人類EpCAM之胺基酸殘 基 Q24、E25、A35、F39、V40、N41、R44、Q45 與 Q47的存在。 某些實施例中,本發明提供專一性結合人類EpCAM 之單離單株抗體,其包括三個序列編號:3之重鏈互補 決定區與/或三個序列編號:5之輕鍵互補決定區。某 201125583 些實施例中’本發明提供專—性結合人類EpCAM之單 離單株抗體,其包括三個序列 ^ ^ _ 徊厅幻蝙旒.7之重鏈互補決定 區與或三個序列編號:9之輕鏈互補決定區。某此實Hematol 40(1): 17-24; Naundorf et al. (2002) Int J Cancer 100(1): 101-110; Prang et al. (2005) Br J Cancer 92(2): 342-349; Oberneder et al. 2006) Eur J Cancer 42(15): 2530-253 8). Antibodies that bind very potent effector mechanisms, such as IL-2, PE toxin or anti-CD3, appear to have a better anti-tumor effect. However, 'some negative effects also limit the systemic 201125583 application of the above anti-EpCAM antibodies (Baeuerle PA and Gires Ο (2007) Br J Cancer 9ό: 417-423) ° "Insufficient" or "Difference" in the current anti-EpCAM trial The fact that limited "anti-tumor efficacy" indicates that there is still a need to develop anti-EpCAM antibodies with improved anti-tumor function. All references, publications and patent applications disclosed herein are hereby incorporated by reference in their entirety. SUMMARY OF THE INVENTION The present invention is based on the discovery of anti-EpCAM monoclonal antibodies, which can elicit tumor cell apoptosis in different EpCAM-positive cancer cell lines in addition to their CDC and ADCC effector functions. The antibody having an extracellular apoptosis-initiating activity was shown to be advantageous in a mouse xenograft mode having an EpCAM-positive cancer cell line. The present invention provides an isolated monoclonal antibody that specifically binds to an epitope in amino acid 24-63 of human EpCAM (SEQ ID NO: 1), wherein the individual antibody binds to an epitope on the cell surface of a cancer cell in vitro. Induces apoptosis in human cancer cells. In certain embodiments, the apoptosis-initiating activity of the individual antibody against human lung cancer cell line NCI-H358 is at least about 90% of the activity of an antibody selected from the group consisting of 12H8, 1F10, 1G10, 2D11, 6D11, and 4D2. The apoptosis-initiating activity was measured by culturing human lung cancer cells under an antibody concentration of about 1 〇 ug/ml for about i6 2 〇 hours. The amino acid sequence of the heavy and light chain variant regions of 12H8, 1F10, 1G10, 201125583 2D1 1, 6D1 1 and 4D2 is shown in Figures 3-8. NCI-H358 is derived from bronchoalveolar cell carcinoma, and the cell line was deposited with the American Type Culture Collection on October 7, 2009 and the patented name is PTA-10386. NCI-H358 is also available from ATCC under access number CRL-5807. NCI-H358 is also deposited at the Food Industry Development Research Institute (Hsinchu, Taiwan) and the patent deposit name is BCRC960419. In certain embodiments, the binding of an antibody to an epitope in amino acid 24-63 of human EpCAM is dependent on the presence of amino acid residues Q24, E25 and N42 of human EpCAM. In certain embodiments, the binding of an antibody to an epitope in amino acid 24-63 of human EpCAM is dependent on the presence of amino acid residues Q24, E25, E26, N37, N41, Q47 and T49 of human EpCAM. In certain embodiments, the binding of an antibody to an epitope in amino acid 24-63 of human EpCAM is dependent on the presence of amino acid residues E25, V40 and R44 of human EpCAM. In certain embodiments, the binding of an antibody to an epitope in amino acid 24-63 of human EpCAM is dependent on the presence of amino acid residues N41, N43 and R44 of human EpCAM. In certain embodiments, the binding of an antibody to an epitope in amino acid 24-63 of human EpCAM is dependent on amino acid residues Q24, E25, A35, F39, V40, N41, R44, Q45 and Q47 of human EpCAM. The presence. In certain embodiments, the invention provides a monoclonal antibody that specifically binds to human EpCAM, comprising three SEQ ID NO: 3 heavy chain complementarity determining regions and/or three SEQ ID NO: 5 light bond complementarity determining regions . In some embodiments of 201125583, the present invention provides a monoclonal antibody that specifically binds to human EpCAM, which comprises three sequences of the heavy chain complementarity determining region and three sequence numbers of the sequence of ^^ _ 徊 幻 幻 旒. : 9 light chain complementarity determining region. Something

施例中,本發明提供專—性結合人類⑽颜之單離單 株抗體,其包括三個序列編U之諸互補決定區 與/或二個序列編號:13之輕鏈互補決定區。某些實施 例中’本發明提供專—性結合人類“CAM之單離單株 抗體’其包括三個序列編號:15之重鍵互補決定區與/ 或三個序列編號:17之輕鏈互補決定區。某些實施例 中,本發明提供專一性結合人類EpCAM之單離單株抗 體,其包括三個序列編號:19之重鏈互補決定區與/ 或三個序列編號:21之輕鏈互補決定區。某些實施例 中,本發明提供專一性結合人類EpCAM之單離單株抗 體’其包括三個序列編號:23之重鏈互補決定區與/ 或二個序列編號:25之輕鍵互補決定區。 某些實施例中’本發明提供單離單株抗體,其包括 包含序列編號:3之胺基酸序列的重鍵變異區與/或包 含序列編號:5之胺基酸序列的輕鏈變異區。某些實施 例中,本發明提供單離單株抗體,其包括包含序列編 號:7之胺基酸序列的重鏈變異區與/或包含序列編 號:9之胺基酸序列的輕鏈變異區。某些實施例中,本 發明提供單離單株抗體’其包括包含序列編號:11之 胺基酸序列的重鍵變異區與/或包含序列編號:13之胺 基酸序列的輕鏈變異區。某些實施例中,本發明提供 10 201125583 單離單株抗體,其包括包含序列編號:15之胺基酸序 列的重鏈變異區與/或包含序列編號:17之胺基酸序列 的輕鏈變異區。某些實施例中,本發明提供單離單株 抗體,其包括包含序列編號:19之胺基酸序列的重鏈 變異區與/或包含序列編號:21之胺基酸序列的輕鏈變 異區。某些實施例中,本發明提供單離單株抗體,其 包括包含序列編號:23之胺基酸序列的重鏈變異區與/ 或包含序列編號:25之胺基酸序列的輕鏈變異區。In the embodiment, the present invention provides an antibody that specifically binds to a human (10) singular isolate, which comprises three complementarity determining regions of the sequence and/or two light chain complementarity determining regions of the SEQ ID NO: 13. In certain embodiments, the invention provides a monoclonal antibody that specifically binds to human "CAM" which comprises three SEQ ID NO: 15 heavy bond complementarity determining regions and/or three SEQ ID NO: 17 light chain complementary Determining Regions. In certain embodiments, the invention provides a monoclonal antibody that specifically binds to human EpCAM, comprising three SEQ ID NO: 19 heavy chain complementarity determining regions and/or three SEQ ID NO: 21 light chains Complementarity determining region. In certain embodiments, the invention provides a monoclonal antibody that specifically binds to human EpCAM, which comprises three SEQ ID NO: 23 heavy chain complementarity determining regions and/or two SEQ ID NO: 25 The bond complementarity determining region. In certain embodiments, the invention provides a single antibody, comprising a heavy bond variant comprising an amino acid sequence of SEQ ID NO: 3 and/or an amino acid sequence comprising SEQ ID NO: 5. Light chain variant region. In certain embodiments, the invention provides a single antibody, comprising a heavy chain variant comprising the amino acid sequence of SEQ ID NO: 7 and/or an amino acid comprising SEQ ID NO: 9. Sequence of light chain variants. In some embodiments, the invention provides a monoclonal antibody that comprises a heavy chain variant region comprising the amino acid sequence of SEQ ID NO: 11 and/or a light chain variant region comprising the amino acid sequence of SEQ ID NO: 13. In certain embodiments, the invention provides 10 201125583 isolated antibody, comprising a heavy chain variant comprising the amino acid sequence of SEQ ID NO: 15 and/or a light chain comprising the amino acid sequence of SEQ ID NO: 17. Variant regions. In certain embodiments, the invention provides a single antibody, comprising a heavy chain variant comprising an amino acid sequence of SEQ ID NO: 19 and/or a light comprising an amino acid sequence of SEQ ID NO: 21. Chain variant region. In certain embodiments, the invention provides an isolated antibody, comprising a heavy chain variant comprising the amino acid sequence of SEQ ID NO: 23 and/or comprising an amino acid sequence of SEQ ID NO: 25. Light chain variation region.

某些實施例中,抗體引發選自下列所構成之群組的 人類癌症細胞之細胞凋亡:乳癌細胞、大腸直腸癌細 胞、胃癌細胞、肺癌細胞、前列腺癌細胞、胰臟癌細 胞、咽喉癌細胞與卵巢癌細胞。某些實施例中,抗體 係叙合抗體’例如包括人類抗體之重鏈恆定區與輕鏈 怔定區某些實施例中,抗體係擬人化抗體。本發明亦 提供本文所述之抗-EpCAM抗體之抗原-結合片段。某 些實施例中,抗體係雙專一性抗體,包括專一性辨別 ^ m <第一結合區域以及專一性辨別不同拍 原之第二結合區域。某些實施例中,雙專一性抗體之 AJ_ * 、’。D區域包括本文所述之抗-EpCAM抗體之三個 重鏈互補決定區與/或三個輕鏈互補決定區。某些 例中,雔直_ ^ 陵抗體之第一結合區域包括本文所述之 抗-EpCAM 括·» 仇體之重鏈變異區與/或輕鏈變異區。某些 實施例中,雔^ 又辱—性抗體專一性之第二結合 CD3 (例如,人⑬。 人類CD3)。 201125583 本發明亦提供單鏈雙專—性抗體,其包括⑷第一抗 原結合區域,專-性結合人類EpCAM之胺基酸2“3 中之表位’其中第一抗原結合區域包括重鏈變異區 (vhepCAM)與輕鏈變異區(VlEpCam);與⑻第二抗原 結合區域’專-性結合人類CD3抗原,其中第二抗原 結合區域包括重鏈變異區(VHCD3)與輕鏈變異區 (VLCD3);其中變異區由N_端至c端配置的順序為In certain embodiments, the antibody elicits apoptosis in a human cancer cell selected from the group consisting of breast cancer cells, colorectal cancer cells, gastric cancer cells, lung cancer cells, prostate cancer cells, pancreatic cancer cells, and throat cancer Cells and ovarian cancer cells. In certain embodiments, the antibody recombines an antibody', for example, comprising a heavy chain constant region and a light chain definitive region of a human antibody, in certain embodiments, an anti-systematic anthropomorphic antibody. The invention also provides antigen-binding fragments of the anti-EpCAM antibodies described herein. In some embodiments, the anti-systemic bispecific antibody comprises a specificity discrimination m m < a first binding region and a second binding region that uniquely distinguishes between different transcripts. In certain embodiments, the AJ_*, ' of the bispecific antibody. The D region includes three heavy chain complementarity determining regions and/or three light chain complementarity determining regions of the anti-EpCAM antibodies described herein. In some instances, the first binding region of the 雔 _ 抗体 antibody comprises the heavy chain variant region and/or the light chain variant region of the anti-EpCAM inclusions described herein. In certain embodiments, the second binding to CD3 (e.g., human 13. human CD3) is mediated. 201125583 The invention also provides a single-chain, dual-specific antibody comprising (4) a first antigen-binding region that specifically binds to an amino acid of human EpCAM 2"3 of the epitope" wherein the first antigen-binding region comprises a heavy chain variation Region (vhepCAM) and light chain variant region (VlEpCam); and (8) second antigen binding region'-specific binding to human CD3 antigen, wherein the second antigen binding region includes heavy chain variation region (VHCD3) and light chain variation region (VLCD3) ); the order in which the variation region is configured from the N_ terminal to the c terminal is

VLEpCAM-VHEpCAM-VHCD3-VLCD3。 某些實施例中,第一抗原結合區域中之VhEpC AM與 VLEPCAM係衍生自抗體(例如,單離單株抗體),其中 單獨抗體在试管内結合癌症細胞之細胞表面上之表位 (例如,人類EpCAM之胺基酸24_63中之表位)後引發 人類癌症細胞之細胞凋亡。某些實施例中,單獨抗體 對人類肺癌細胞株NCI-H3 58的細胞凋亡-引發活性係 至少約選自 12H8、1F10、1G10、2D11、6D11 與 4D2 組成之群組的抗體之活性的9〇%,其中藉由在約i 〇 ug/ml濃度的抗體下培養人類肺癌細胞約16_2〇小時來 測量細胞凋亡-引發活性。 某些實施例中,單鏈雙專一性抗體更包括VLEpC AM 與 VHEpCAM 間、VHEpCAM 與 VhCD3 間、與 / 或 VhCD3 與VlCD3間之胜肽連接子。某些實施例中,VLEpCAM 與VHEpCAM間之胜肽連接子包括序列編號:49之胺 基酸序列。某些實施例中,VHCD3與VLCD3間之胜肽 連接子包括序列編號:53之胺基酸序列。某些實施例 12 201125583 中,VHEpCAM與VHCD3間之胜肽連接子包括序列編 號:5 1之胺基酸序列。 某些實施例中,第一抗原結合區域包括選自下列所 構成之群組的 VHEpCAM 與 VLEpCAM: (a)VHEpCAM 包括三個序列編號:3之CDR,而VLEpCAM包括三個 序列編號:5之CDR; (b)VHEpCAM包括三個序列編 號:7之CDR,而VLEpCAM包括三個序列編號:9之 CDR ; (c)VHEpCAM包括三個序列編號:1 1之CDR, 而 VLEpCAM 包括三個序列編號:13 之 CDR ; (d)VHEpCAM 包括三個序列編號:15之CDR,而 VLEpCAM包括三個序列編號:17之CDR; (e)VHEpCAM 包括三個序列編號:19之CDR,而VLEpCAM包括三 個序列編號:21之CDR ;及(f)VHEpCAM包括三個序 列編號:23之CDR,而VLEpCAM包括三個序列編號: 25之CDR。某些實施例中,VHEpCAM與VLEpCAM係 擬人化。某些實施例中,第一抗原結合區域包括選自 下列所構成之群組的 VHEpCAM與 VLEpCAM : (a) VHEpCAM包括序列編號:27之胺基酸序列,而 VLEpCAM 包括序列編號:29之胺基酸序列; (b) VHEpCAM包括序列編號:31之胺基酸序列,而 VLEpCAM包括序列編號:33之胺基酸序列;及 (c) VHEpCAM包括序列編號:35之胺基酸序列,而 VlEPCAM包括序列編號:37之胺基酸序列。 13 201125583 某些實施例中,第二抗原結合區域專一性,结合 CD3e、CD3Y或CD3S鏈。某些實施例中,第二抗原結 合區域包括VHCD3與VLCD3,其中VHCD3包括序列 編號:55之胺基酸序列與/或其中VLCD3包括序列編 號:57之胺基酸序列。某些實施例中,第二抗原結合 區域包括VHCD3與VLCD3,其中VHCD3包括三個序 列編號:55之胺基酸序列的CDR,與/或其中VlCD3 包括三個序列編號:57之胺基酸序列的CDR。某些實 施例中’ VHCD3與/或VLCD3係擬人化。 某些實施例中’雙專一性抗體更在雙專一性抗體之 C-端處包括人類無清白蛋白序列(HSA)。某些實施例 中’人類血清白蛋白序列包括序列編號:45或序列編 號:47之胺基酸序列。某些實施例中,雙專一性抗體 更包括VLCD3與人類蠱清白蛋白序列之間的胜肽連接 子。某些實施例中,VLCD3與人類血清白蛋白序列之 間的胜肽連接子包括序列編號:5 1之胺基酸序列。 某些實施例中’雙專一性抗體包括選自序列編號: 39與序列編號:41與序列編號:43所組成之群組的胺 基酸序列。 本發明亦提供藥學組合物,其包括本文所述之抗體 與藥學可接受載體^某些實施例中,抗體係本文所述 之抗-EpCAM抗體。某些實施例中,抗體係本文所述之 單鏈雙專一性抗體。 14 201125583 本發明亦提供單離聚核苷酸,其包括一或多個編碼 本文所述抗體(例如,抗_EpCAM抗體)之核酸序列。某 些實施例中,聚核苷酸包括一或多個編碼本文所述之 單鏈雙專一性抗體之胺基酸序列。本發明亦提供包括 本文所述之聚核苷酸的載體。本發明亦提供包括本文 所述之載體的宿主細胞。 本發明亦提供產生本文所述之抗體(例如,抗 -Ep CAM抗體)的方法,包括培養本文所述之產生抗體 的宿主細胞、並自細胞培養液中取得抗體。某些實施 例中’抗體係本文所述之單鏈雙專一性抗體。某些實 施例中,宿主細胞包括載體,載體包括一或多個編碼 抗體之核酸序列。VLEpCAM-VHEpCAM-VHCD3-VLCD3. In certain embodiments, the VhEpC AM and VLEPCAM lines in the first antigen binding region are derived from an antibody (eg, a single antibody), wherein the individual antibody binds to an epitope on the cell surface of the cancer cell in vitro (eg, Apoptosis of human cancer cells is elicited by the epitope in the amino acid 24_63 of human EpCAM. In certain embodiments, the apoptosis-initiating activity of the individual antibody against human lung cancer cell line NCI-H3 58 is at least about 9 antibodies selected from the group consisting of 12H8, 1F10, 1G10, 2D11, 6D11 and 4D2. 〇%, wherein apoptosis-initiating activity was measured by culturing human lung cancer cells under an antibody concentration of about i 〇 ug/ml for about 16-2 hrs. In certain embodiments, the single-chain, bispecific antibody further comprises a peptide linker between VLEpC AM and VHEpCAM, between VHEpCAM and VhCD3, and/or between VhCD3 and VlCD3. In certain embodiments, the peptide linker between VLEpCAM and VHEpCAM comprises the amino acid sequence of SEQ ID NO: 49. In certain embodiments, the peptide linker between VHCD3 and VLCD3 comprises the amino acid sequence of SEQ ID NO:53. In certain embodiments 12 201125583, the peptide linker between VHEpCAM and VHCD3 comprises the amino acid sequence of the sequence number: 51. In certain embodiments, the first antigen binding region comprises VHEpCAM and VLEpCAM selected from the group consisting of: (a) VHEpCAM comprises three CDRs of SEQ ID NO: 3, and VLEpCAM comprises three CDRs of SEQ ID NO: 5 (b) VHEpCAM includes three CDRs with SEQ ID NO: 7 and VLEpCAM includes three CDRs with SEQ ID NO: 9; (c) VHEpCAM includes three SEQ ID NO: 1 CDR, and VLEpCAM includes three SEQ ID: CDR of 13; (d) VHEpCAM includes three CDRs of SEQ ID NO: 15 and VLEpCAM includes three CDRs of SEQ ID NO: 17; (e) VHEpCAM includes three CDRs of SEQ ID NO: 19, and VLEpCAM includes three sequences Number: 21 CDR; and (f) VHEpCAM includes three CDRs of SEQ ID NO: 23, and VLEpCAM includes three CDRs of SEQ ID NO: 25. In some embodiments, VHEpCAM and VLEpCAM are anthropomorphic. In certain embodiments, the first antigen binding region comprises VHEpCAM and VLEpCAM selected from the group consisting of: (a) VHEpCAM comprises the amino acid sequence of SEQ ID NO: 27, and VLEpCAM comprises the amino group of SEQ ID NO: 29. Acid sequence; (b) VHEpCAM includes the amino acid sequence of SEQ ID NO: 31, and VLEpCAM includes the amino acid sequence of SEQ ID NO: 33; and (c) VHEpCAM includes the amino acid sequence of SEQ ID NO: 35, and VlEPCAM includes SEQ ID NO: 37 amino acid sequence. 13 201125583 In certain embodiments, the second antigen binding region is specific and binds to a CD3e, CD3Y or CD3S chain. In certain embodiments, the second antigen binding region comprises VHCD3 and VLCD3, wherein VHCD3 comprises the amino acid sequence of SEQ ID NO: 55 and/or wherein VLCD3 comprises the amino acid sequence of SEQ ID NO: 57. In certain embodiments, the second antigen binding region comprises VHCD3 and VLCD3, wherein VHCD3 comprises three CDRs of the amino acid sequence of SEQ ID NO: 55, and/or wherein VlCD3 comprises three amino acid sequences of SEQ ID NO: 57 CDR. In some embodiments, 'VHCD3 and/or VLCD3 are anthropomorphic. In certain embodiments, the 'bispecific antibody comprises a human non-clearin sequence (HSA) at the C-terminus of the bispecific antibody. In some embodiments, the human serum albumin sequence comprises the amino acid sequence of SEQ ID NO: 45 or Sequence No.: 47. In certain embodiments, the bispecific antibody further comprises a peptide linker between VLCD3 and the human albumin sequence. In certain embodiments, the peptide linker between VLCD3 and the human serum albumin sequence comprises the amino acid sequence of SEQ ID NO: 51. In certain embodiments, the 'bispecific antibody comprises an amino acid sequence selected from the group consisting of SEQ ID NO: 39 and SEQ ID NO: 41 and SEQ ID NO: 43. The invention also provides pharmaceutical compositions comprising an antibody as described herein and a pharmaceutically acceptable carrier, in certain embodiments, an anti-EpCAM antibody as described herein. In certain embodiments, the anti-systems single chain bispecific antibodies described herein. 14 201125583 The invention also provides an isolated polynucleotide comprising one or more nucleic acid sequences encoding an antibody (e.g., an anti-EpCAM antibody) described herein. In certain embodiments, the polynucleotide comprises one or more amino acid sequences encoding a single-chain, bispecific antibody described herein. The invention also provides vectors comprising the polynucleotides described herein. The invention also provides host cells comprising the vectors described herein. The invention also provides a method of producing an antibody (e.g., an anti-Ep CAM antibody) described herein, comprising culturing an antibody-producing host cell described herein and obtaining the antibody from the cell culture fluid. In certain embodiments, the anti-system is a single-chain, bispecific antibody described herein. In certain embodiments, the host cell comprises a vector comprising one or more nucleic acid sequences encoding the antibody.

本發明亦k供在試管内篩選專一性結合人類EpCAM 並引發人類癌症細胞之細胞凋亡之抗體的方法,包 括:(a)在試管内以專一性結合人類epCam之單獨單 株抗體的有效濃度來培養癌症細胞;(b)測量單獨單株 抗體所引發之癌症細胞之細胞凋亡;及(c)與對照抗體 相較’若該抗體具有較高的細胞凋亡-引發活性則選擇 該抗體。某些實施例中,抗體係本文所述之抗_EpCAM 抗體。某些實施例中,抗體係本文所述之單鏈雙專一 性抗體。某些實施例中,藉由Annexin v與Pr〇pidium Iodide染色癌症細胞來測量細胞凋亡·引發活性。某些 實施例中,癌症細胞係選自下列所構成之群組··乳癌 細胞、大腸直腸癌細胞、胃癌細胞、肺癌細胞、前列 15 201125583 腺癌細胞、胰臟癌細胞、咽喉癌細胞與卵巢癌細胞。 某些實施例中,對照抗體係選自下列所構成之群組的 抗體:12H8、1F10、1G10、2D1 1、6D1 1 與 4D2 » 某 些實施例中,選擇出細胞凋亡-引發活性為選自12H8、 1F10、1G10、2D11、6D1 1與4D2組成之群組的抗體 之90%的抗體。 本發明亦提供治療、延遲發展與/或避免個體中之癌 症的方法,其包括對個體施加有效劑量的本文所述抗 體。某些實施例中,使用本文所述之抗_EPCAM抗體。 某些實施例中,使用本文所述之單鏈雙專一性抗體。 某些實施例中’癌症係選自下列所構成之群組:乳癌 細胞、大腸直腸癌細胞、胃癌細胞、肺癌細胞、前列 腺癌細胞、騰臟癌細胞、咽喉癌細胞與卵巢癌細胞。 某些實施例中’藉由在個體中偵測抗體對癌症細胞之 結合來選擇個體❶某些實施例中,方法更包括對個體 施加第二抗-癌劑。某些實施例中,第二抗-癌劑係化學 治療劑(例如’奥沙利鉑(0xaliplatin))e 本發明亦提供包括本文所述之抗體的套組。某些實 施例中’套組包括本文所述之抗_EpC am抗體。某些實 施例中’套組包括本文所述之單鏈雙專一性抗體。某 些實施例中’套组可更包括對個體施加有效劑量之抗 體以治療個體之癌症的用法說明。某些實施例中,套 組可更包括第二抗-癌劑與/或對個體一同施加抗體與 16 201125583 以治療個體之癌症的用法說 第二抗_癌劑藥學組合物以治 需了解可結合本文所述之 所有特性以开4出ϋΚτ » __The present invention is also a method for screening an antibody which specifically binds to human EpCAM and induces apoptosis of a human cancer cell in a test tube, comprising: (a) an effective concentration of a single monoclonal antibody specifically binding to human epCam in a test tube; To culture cancer cells; (b) to measure apoptosis of cancer cells caused by monoclonal antibodies alone; and (c) to compare with control antibodies, if the antibody has higher apoptosis-initiating activity, select the antibody . In certain embodiments, the anti-system anti-EpCAM antibodies described herein. In certain embodiments, the anti-systems are described herein as single-chain, bispecific antibodies. In certain embodiments, apoptosis/priming activity is measured by staining cancer cells with Annexin v and Pr〇pidium Iodide. In some embodiments, the cancer cell line is selected from the group consisting of: breast cancer cells, colorectal cancer cells, gastric cancer cells, lung cancer cells, prostaglandin 15 201125583 adenocarcinoma cells, pancreatic cancer cells, throat cancer cells, and ovaries cancer cell. In certain embodiments, the control antibody system is selected from the group consisting of: 12H8, 1F10, 1G10, 2D1 1, 6D1 1 and 4D2 » In certain embodiments, apoptosis-initiating activity is selected 90% of the antibodies of the group consisting of 12H8, 1F10, 1G10, 2D11, 6D1 1 and 4D2. The invention also provides methods of treating, delaying the development and/or avoiding cancer in an individual comprising applying to the individual an effective amount of an antibody described herein. In certain embodiments, the anti-EPCAM antibodies described herein are used. In certain embodiments, a single chain, bispecific antibody described herein is used. In some embodiments, the cancer is selected from the group consisting of breast cancer cells, colorectal cancer cells, gastric cancer cells, lung cancer cells, prostate cancer cells, sputum cancer cells, throat cancer cells, and ovarian cancer cells. In certain embodiments, the individual is selected by detecting binding of the antibody to the cancer cell in the individual. In certain embodiments, the method further comprises applying a second anti-cancer agent to the individual. In certain embodiments, the second anti-cancer agent is a chemotherapeutic agent (e.g., ' oxaliplatin) e. The invention also provides kits comprising the antibodies described herein. In some embodiments the 'sets include the anti-EpC am antibodies described herein. In some embodiments the 'sets' include the single-chain, bispecific antibodies described herein. In some embodiments, the "set may further include instructions for administering an effective amount of an antibody to the individual to treat the cancer in the individual. In certain embodiments, the kit may further comprise a second anti-cancer agent and/or an antibody to be administered to the individual and 16 201125583 to treat the cancer of the individual. The second anti-cancer agent pharmaceutical composition is known for treatment. Combine all the features described in this article to open 4 ϋΚτ » __

述之不同實施例的一個、某些或 他實施例。熟悉技術人士將 【實施方式】 定義 抗體」係能夠透過位於免疫球蛋白分子之變異區中 的至少一抗原辨別位置專一 性結合目標(諸如,醣類、聚 核苷酸、脂質、聚胜肽等)之免疫球蛋白分子。本文所用 之詞彙不僅包括完整的多株或單株抗體,還有其之抗原 結合片段(諸如 Fab、Fab,、F(ab,)2、Fv)、單鏈(ScFv)、 其之突變、包括抗體部分之融合蛋白、與包括抗原辨別 位置之免疫球蛋白分子的任何其他修飾結構。抗體包括 任何類型的抗體,諸如IgG、IgA或IgM (或其之亞型), 而抗體不必需為任何特定類型。取決於免疫球蛋白之重 鏈恆定區域的抗體胺基酸序列,可將免疫球蛋白分為不 同類型。免疫球蛋白有五種主要類型:IgA、IgD、igE、 IgG與IgM,且許多這些類型可進一步區分成亞型(同 型)’諸如 IgGl、IgG2、IgG3、IgG4、IgAl 與 igA2。對 應不同類型之免疫球蛋白的重鏈恆定區域分別稱為α、 5、ε、7與//。習知不同類型之免疫球蛋白的子單位 17 201125583 結構與三維結構。 本發明之抗體進一步預期包括雙專一性、多專一 性、單鏈、與嵌合及擬人化分子,其由抗體的至少一 CDR區所給予而對聚胜肽具有親合力》本發明之抗體 亦包括單域抗體,其係抗體重鏈之變異區域或抗體輕 鏈之變異區域任一者。Holt等人,A 21:484-490,2003。技術中亦習知製造包括抗體重鏈之 變異區域或抗體輕鏈之變異區域任一者之區域抗體的 • 方法’該區域抗體包含抗體六個自然存在的互補決定 區的其中二個。參閱例如Muyldermans,i?ev. Mo厂 Bioiec/mo/. 74:277-302, 2001 〇 本文所用之「單株抗體」代表實質同質抗體的抗體, 即除了少量存在的可能自然存在突變,構成總體之個 別抗體係相同的。相對於通常包括針對不同決定位(表 位)之不同抗體的多株抗體製備,單株抗體非為不同抗 φ 體的混合物。修飾詞「單株」表明抗體係由實質同質 的抗體群體得到的特性,而不應解釋成需要藉由任何 特疋方法產生抗體。例如,根據本發明而即將應用之 單株抗體可藉由Kohler與Milstein,(1975),編_, 256:495最早描述的融合瘤方法加以製造,或可藉由例 如美國專利號4,816,567所述之重組舰方法加以製 造。亦可自應用例如McCafferty等人(199〇),細 348:552_554所述之技術產生之嗜菌體庫單離單株抗 體。應當理解本文所用之單株抗體包括敌合抗體、擬 201125583 人化抗體、人類抗體、單鏈抗體、單域抗體、雙專一 性抗體、多專—性抗體與其之抗原-結合片段。 本文所用之「嵌合抗體」代表變異區或變異區部分 來自第一物種而恆定區來自第二物種之抗體。完整嵌 合抗體包括兩份嵌合輕鏈與兩份嵌合重鏈。技術中習 知欲合抗體的製造(Cabilly等人(1984),/V%· ΑαΑ t/以,81:3273_3277 ; Harlow 與 LaneOne, some or other embodiments of different embodiments are described. A person skilled in the art will be able to specifically bind a target (such as a saccharide, a polynucleotide, a lipid, a polypeptide, etc.) through at least one antigen discrimination site located in a variant region of an immunoglobulin molecule. ) an immunoglobulin molecule. The terminology used herein includes not only intact multi-strain or monoclonal antibodies, but also antigen-binding fragments thereof (such as Fab, Fab, F(ab,) 2, Fv), single-stranded (ScFv), mutations thereof, including A fusion protein of an antibody portion, and any other modified structure of an immunoglobulin molecule comprising a position at which the antigen is distinguished. Antibodies include any type of antibody, such as IgG, IgA or IgM (or a subtype thereof), and the antibody does not have to be of any particular type. Immunoglobulins can be classified into different types depending on the antibody amino acid sequence of the heavy chain constant region of the immunoglobulin. There are five main types of immunoglobulins: IgA, IgD, igE, IgG and IgM, and many of these types can be further distinguished into subtypes (homotypes) such as IgG1, IgG2, IgG3, IgG4, IgAl and igA2. The heavy-chain constant regions corresponding to different types of immunoglobulins are called α, 5, ε, 7 and //, respectively. Conventional subunits of different types of immunoglobulins 17 201125583 Structure and three-dimensional structure. The antibodies of the invention are further contemplated to include bispecific, multi-specific, single-stranded, chimeric, and anthropomorphic molecules that are administered by at least one CDR region of an antibody to have affinity for the polypeptide. A single domain antibody is included, which is either a variant region of an antibody heavy chain or a variant region of an antibody light chain. Holt et al, A 21: 484-490, 2003. It is also known in the art to make a region antibody comprising a variant region of an antibody heavy chain or a variant region of an antibody light chain. The antibody of this region comprises two of the six naturally occurring complementarity determining regions of the antibody. See, for example, Muyldermans, i?ev. Mo Plant Bioiec/mo/. 74:277-302, 2001 〇 "Essence of antibodies" as used herein refers to antibodies that are substantially homogeneous antibodies, ie, in addition to a small number of possible naturally occurring mutations, constitute the population The individual resistance systems are the same. The monoclonal antibodies are not mixtures of different anti-[beta] bodies relative to the preparation of multiple antibodies that typically include different antibodies directed against different epitopes (epitopes). The modifier "single plant" indicates the property of the anti-system derived from a substantially homogeneous antibody population and should not be construed as requiring antibody production by any particular method. For example, a monoclonal antibody to be used in accordance with the present invention can be produced by the fusion tumor method first described by Kohler and Milstein, (1975), ed., 256: 495, or by, for example, U.S. Patent No. 4,816,567. The reorganization method is manufactured. The phage library produced by the technique described in, for example, McCafferty et al. (199 〇), 348: 552 554, can also be isolated from a single antibody. It is to be understood that the monoclonal antibodies used herein include hostile antibodies, pseudo-201125583 humanized antibodies, human antibodies, single-chain antibodies, single-domain antibodies, bispecific antibodies, polyspecific antibodies and antigen-binding fragments thereof. As used herein, "chimeric antibody" refers to a region of a variant or variant region that is derived from a first species and a constant region from a second species. The complete chimeric antibody comprises two chimeric light chains and two chimeric heavy chains. The manufacture of antibodies is known in the art (Cabilly et al. (1984), /V%·ΑαΑ t/, 81:3273_3277; Harlow and Lane

Antibodies: a Laboratory Manual, Cold Spring 籲 Harbor Laboratory)。一般而言,這些嵌合抗體中,輕 键與重鏈兩者之變異區模擬衍生自一哺乳類物種之抗 體變異區’而恆定部分係同源於衍生自另一物種之抗 體序列《某些實施例中,可在變異區與/或恆定區中進 行胺基酸修飾。 「單離」抗體係一種已經自其天然環境之成分中辨別 與分離與/或取得之抗體。 • 本文所用之「單獨抗體」係未接合至細胞毒素基團 或同位素標記之抗體。 本文所用之「實質純淨」代表材料係至少5〇%純淨 (即,不具污染物)、更佳係至少9〇 %純淨、更佳係至 少95%純淨、更佳係至)98%純淨、更佳係至少99〇/。 純淨。 本文所用之「擬人化」抗體代表非·人類(例如,鼠科) 抗體的料’其係、包含極少衍生自非_人類免疫球蛋白 之序列的專-性嵌合免疫球蛋白、免疫球蛋白鍵、或 19 201125583 其之片段(諸如Fv、Fab、Fab,、F(ab')2或抗體的其他 抗原-結合亞序列)。大部分,擬人化抗體係接受者之互 補決定區(CDR)的殘基由非-人類物種(捐獻抗體)之 CDR的殘基所取代之人類免疫球蛋白(接受抗體),非_ 人類物種諸如,具有所欲專一性、親合性與能力的小 鼠、大鼠或兔子。某些實例中’人類免疫球蛋白之Fv 架構區域(FR)殘基係由對應的非_人類殘基所取代。再 者,擬人化抗體可包括接受抗體或輸入之CDR或架構 序列中沒有發現的殘基,但是將其包含在内以進一步 提升與最佳化抗體表現。一般而言,擬人化抗體包括 實質上所有的至少一個(通常為兩個)變異區域,其中所 有或實質上所有的CDR區對應於非-人類免疫球蛋白 的那些CDR區’而所有或實質上所有的fr區係人類 免疫球蛋白共有序列的那些FR區。擬人化抗體最理想 亦包括通常係人類免疫球蛋白的至少一部分免疫球蛋 白恒定區或區域(Fc)。抗體可具由如w〇 99/58572中 所述修飾之Fc區。其他形式的擬人化抗體可具有一或 更多參照原始抗體而改變之CDR (—、二、三、四、 五、六),其亦稱為_或更多CDR「衍生自」一或更多 來自原始抗體的CDR。 本文所用之「人類抗體」意指胺基酸序列對應於人 類產生之抗體與/或已經利用技術中習知或本文所述之 製把人類抗體技術任一者製造之胺基酸序列的抗體。 此種人類抗體的定義包括包含至少一人類重鏈聚胜肽 20 201125583 或至少一人類輕鏈聚胜肽的抗體。上述實例之一係包 括鼠科輕鏈與人類重鍵聚胜肽的抗體。可利用技術中 習知的不同技術產生人類抗體。一實施例中,人類抗 體係選自噬菌體庫,其中該噬菌體庫表現人類抗體 (Vaughan 等人 1996, Nature Biotechnology, 14:309-314 ; Sheets 等人(1998), PNAS, (USA) 95:6157-6162 ; Hoogenboom 與紹!^!·,^…,/·^/^/· 方zo/.,227:381 ; Marks 等人(1991),J. Mo/· 5ζ·〇/., 222:581)。亦可藉由將人類免疫球蛋白基因座導入轉殖 基因動物(例如,小鼠)來製造人類抗體,而轉殖基因動 物中的内源性免疫球蛋白基因已經被部分或完全去活 化。此方法描述於美國專利號5,545,807、5,545,806、 5,569,825、5,625,126、5,63 3,425 與 5,6 61,016。或者, 可藉由永生化產生針對目標抗原之抗體的人類Β淋 巴球來製備人類抗體,上述Β淋巴球可自個體中或已 經在試管内免疫而取得。參閱諸如C〇ie等人 Monoclonal and Cancer Therapy, Alan R. Liss, p. 77 (1985) ; Boerner 等人(1991),乂 , i47 (1):86-95 ;與美國專利號 5,750,373 e 抗體的「變異區」代表單一或組合的抗體輕鏈變異 區或抗體重鏈變異區。重鏈與輕鏈之變異區個別由三 個亦稱為高度變異區之互補決定區(CDr)所連接之四 個架構區域(FR)所構成。各個鏈中的CDR係由FR相 當接近地固持在一起’並與其他鏈的CDR促成抗體之 21 201125583 抗原-結合位置的形成。至少有兩種破定CDR的技術: (1)一種方法係根據物種之間的序列變化性(即,Kabat 等人 Sequence of Proteins of Immunological Interest, (5th ed·,1991,National Institutes of Health, Bethesda MD));與(2)—種方法係根據抗原-抗體複合物的結晶學 研究(Al-lazikani 等人(1997) Λ Mo/κ.胁/. 273:927-948))。本文所用之CDR可代表任一方法或兩 者方法之組合所界定之CDRs。 _ 抗體的「恆定區」代表單一或組合的抗體輕鏈恆定 區或抗體重鏈恆定區。抗體恆定區通常提供結構穩定 性與其他生物功能’諸如抗體鍵結合、分泌、經胎盤 移動性(transplacental mobility)及補體結合,但並不涉 及抗原結合。恆定區基因中的胺基酸序列與相應之外 顯子序列取決於其衍生之物種;然而,胺基酸序列中 導致同種異形(allotype)之變化相對受限於物種種特定 籲 惶定區中。各個鏈之變異區藉由連結聚胜肽序列結合 至恆定區。連結序列係由輕鏈基因中r j」序列與重鍵 基因中「D」序列與「J」序列之組合所編碼。 本文所用之「抗體-依賴型細胞介導之細胞毒性」與 「ADCC」代表細胞介導之反應,其中表現Fc受體(FcR) 之非專一性細胞毒性細胞(諸如,自然殺手(NK)細胞、嗜 中性白血球與巨噬細胞)辨別目標細胞上的結合抗體並 接著造成目標細胞的裂解。可利用試管内ADCC試驗(諸 如’美國專利號5,500,362或5,821,337中所述)來評估關 22 201125583 主之刀子的ADCC活性。上述試驗的有用效應子細胞包 括周邊血液單核細胞(PBMC)# NK細胞。替代或額外 地’可活體内試驗(例如,Clynes等人1998, (usA), 95:652-656所揭露之動物模式)關注之分子的adcc活 性。 「補體依賴型細胞毒性」與rCDC」代表目標在補體 存在下的裂解。補體活化路徑係由補體系統之第一補體 (Clq)結合至與同源抗原複合之分子(例如,抗體)所引 發。爲了確定補體活化,可實施例如Gazzan〇 Sant〇r〇等 人·/· /mm/. 心,2〇2:163 (1996)中所述之 cdc 試 驗。 本文交替應用詞彙「聚胜肽」、「募胜肽」、「胜肽」與 「蛋白」代表任何長度的胺基酸聚合物。聚合物可為線 性或支狀,其可包括修飾之胺基酸,且其可由非_胺基酸 中斷凋彙亦包含已經由自然或插入修飾之胺基酸聚合 物;例如,雙硫鍵形成、醣化、脂化、乙醯化、磷酸化 或任何其他操作或修飾(例如,與標記成分接合)。定義 中亦包括例如,包含一或更多胺基酸類似物(包括例如, 非自然胺基酸等)的聚胜肽、以及其他技術十習知的修 飾由於本發明之聚胜肽係基於抗體,所以可理解聚胜 狀可為單鍵或連結鍵。 本文交替應用「聚核苷酸」或「核酸」來代表任何長 度且包括DNA與RNA的核苷酸聚合物。核苷酸可為去 氧核糖核苷酸、核糖核苷酸、修飾之核苷酸或鹼基與/或 23 201125583 其類似物、或任何可由DNA或rNA聚合酶併入聚合物 之基質。聚核苷酸可包括修飾之核苷酸(諸如,甲基化核 普酸與其類似物)。如果存在的話’可在聚合物組合前或 後給予核苷酸結構的修飾。核苷酸序列可由非_核苷酸成 分所中斷。在聚合化後可進一步修飾聚核苷酸,例如以 標記成分接合。其他修飾類型包括諸如,「加帽卜叩)」; 以類似物取代一或更多自然存在核苷酸;核苷酸内修 飾,諸如具有無電荷連結(諸如,甲基磷酸酯、磷酸三酯、 胺基磷酸酯(phosphoamidate)、胺甲酸酯(cabamate)等)的 那些核苷酸與具有帶電連結(諸如,硫代磷酸酯、二硫代 磷酸酯等)的那些核苷酸、包含懸垂部分(例如,蛋白(諸 如,核酸酶、毒素、抗體、信號胜肽、聚離胺酸等)) 的那些核苷酸、具有嵌入劑(諸如,啶'補骨脂素(ps〇ralen) 等)的那些核苷酸、包含螯化物(諸如,金屬、放射性金 屬、硼、氧化性金屬等)的那些核苷酸、包含烴化劑的那 些核苷酸、具有修飾之連結(諸如,α異構核酸等)的那些 核苷酸、以及聚核苷酸的未修飾形式。再者,通常存在 於糖中的任何羥基可藉由例如膦酸基(ph〇sph〇nate)、磷 酸基加以取代、可藉由標準保護基加以保護、或經活化 以製備與額外核苷酸的額外連結、或可接合至固體支撐 件。可磷酸化或以胺類或丨-20碳原子之有機加帽基團取 代5’與3’末端OH ^其他羥基亦可衍生至標準保護基。 聚核苷酸亦可包含技術中習知的核醣或去氧核醣類相似 形式’包括諸如2,-〇_曱基_、2,_〇_烯丙基、2,_氟·或2,· 24 201125583 疊氮-核醣、碳環糖類似物、〇:-異構醣、差向異構 (epimeric)醣’諸如阿拉伯糖、木糖或來蘇糖、哌喃糖、 β夫味糖、景天_庚糖(sedoheptulose)、非環類似物與非驗 性(abasic)核苷類似物(例如,甲基核糖苷)^可由替代連 接基團取代一或更多磷酸二酯連接。這些替代連接基團 包括(但不限於)實施例中磷酸根由p(0)S(「硫代磷酸根 (thioate)」)、P(S)S (「二硫代填酸根(dithioate)」)、“(〇)NR2 (「胺基填酸根(amidate)」)、P(〇)R、p(〇)〇r,、c〇 或 CH2 (「formacetal」),其中各個R或R’分別為H或經 取代或未經取代之選擇性包含醚(_〇_)連接之烧基(1_2〇 C)、芳基、烯基、環烷基、環烯基或芳烷基(araldyi)。並 非需要聚核苷酸中所有連接係相同的。上述可用於本文 所提到的所有聚核苦酸,包括RNA與DNA。 本文所用之「載體」意指能夠傳送且較佳能夠在宿主 細胞中表現一或更多關注之基因或序列的構築體。載體 實例包括(但不限於)病毒載體、裸露的DNA或RNA表 現載體、質體、黏質體(cosmid)或嗟菌體載體、與陽離子 I集劑結合之DNA或RNA表現載體、裝入脂質體中之 DNA或RNA表現載體、與某些真核細胞(例如,生產細 胞)。 本文所用之「表現控制序列」意指引導核酸轉錄之核 酸序列。表現控制序列可為啟動子(諸如,持續性或誘導 性啟動子)或增強子。表現控制序列係操作性連接至即將 轉錄之核酸序列。 25 201125583 本文所用之藥物、化合物或藥學組合物的「有效劑 量」或「有效數量」係足以造成有利或所欲結果之數 量。關於預防性應用,有利或所欲結果包括諸如排除 或降低風險、減輕嚴重度或延遲疾病開始等結果,包 括疾病的生化、組織與/或行為症狀、其之併發症與疾 病發展過程中呈現的中間病理現象。關於治療應用, 有利或所欲結果包括諸如減少一或更多起因於疾病的 症狀、提高那些罹患疾病者的生活品質 '減少治療疾 病所需之其他藥物的劑量、提高另一藥物治療(例如, 經由標定)的效應、延遲疾病的進展與/或延長存活等臨 床結果。癌症或腫瘤的實例中,藥物的有效數量可具 有減少癌症細胞的數目;降低腫瘤尺寸;抑制(即,減 緩到某種程度且較佳係停止)癌症細胞滲入周圍器 官;抑制(即’減緩到某種程度且較佳係停止)腫瘤轉 移;抑制腫瘤成長到某種程度;與/或減輕與異常相關 之一或更多症狀至某種程度等效果。可以一或更多施 加來施加有效劑量。關於本發明之意圖,藥物、化合 物或藥學組合物的有效劑量係足以直接或間接完成預 防或治療處理的數量。如臨床領域所理解般,可搭配 或不搭配另一藥物、化合物或藥學組合物來達成藥 物、化合物或藥學組合物的有效劑量。因此,若搭配 一或更多其他試劑可達成所欲結果可將一或更多治療 劑的施加視為「有效劑量」且單一試劑可視為有效劑 量。 26 201125583 本文所用之「搭配」代表除了另一治療形式外施加〆 治療形式。因此,「搭配」代表對個體施加其他治療形式 之前、之間或之後施加一種治療形式。Antibodies: a Laboratory Manual, Cold Spring Call Harbor Laboratory). In general, among these chimeric antibodies, the variable region of both the light bond and the heavy chain mimics the antibody variant region derived from a mammalian species and the constant portion is homologous to the antibody sequence derived from another species. In one embodiment, the amino acid modification can be carried out in the variant region and/or the constant region. An "isolated" anti-system is an antibody that has been identified and isolated and/or obtained from the components of its natural environment. • “Alone antibody” as used herein is not conjugated to a cytotoxic group or an isotope-labeled antibody. As used herein, "substantially pure" means that the material is at least 5% pure (ie, no contaminants), more preferably at least 9% pure, more preferably at least 95% pure, more preferably at least 98% pure, more Good system is at least 99〇/. Pure. As used herein, a "humanized" antibody represents a non-human (eg, murine) antibody material, a specialized chimeric immunoglobulin, immunoglobulin comprising a sequence derived from a non-human immunoglobulin. A bond, or a fragment thereof, 19 201125583 (such as Fv, Fab, Fab, F(ab') 2 or other antigen-binding subsequence of an antibody). Most, the residues of the complementarity determining region (CDR) of the anthropomorphic anti-system recipient are replaced by human immunoglobulins (accepting antibodies) that are replaced by residues of the CDRs of non-human species (donating antibodies), such as non-human species such as A mouse, rat or rabbit having the desired specificity, affinity and ability. In some instances, the Fv framework region (FR) residues of the human immunoglobulin are replaced by corresponding non-human residues. Furthermore, anthropomorphic antibodies can include residues that are not found in the CDR or framework sequences of the antibody or input, but are included to further enhance and optimize antibody performance. Generally, an anthropomorphic antibody comprises substantially all of at least one (usually two) variant regions, wherein all or substantially all of the CDR regions correspond to those of a non-human immunoglobulin' and all or substantially All fr regions are those FR regions of the human immunoglobulin consensus sequence. Preferably, the anthropomorphic antibody also includes at least a portion of the immunoglobulin constant region or region (Fc), which is typically a human immunoglobulin. The antibody may have an Fc region modified as described in w〇 99/58572. Other forms of anthropomorphic antibodies may have one or more CDRs (-, two, three, four, five, six) that are altered with reference to the original antibody, which are also referred to as _ or more CDRs "derived from" one or more The CDRs from the original antibody. As used herein, "human antibody" means an amino acid sequence corresponding to an antibody produced by a human and/or an antibody that has been made using any of the amino acid sequences produced by any of the human antibody techniques, as is conventional in the art or described herein. A definition of such a human antibody includes an antibody comprising at least one human heavy chain polypeptide 20 201125583 or at least one human light chain polypeptide. One of the above examples is an antibody comprising a murine light chain and a human heavy bond polypeptide. Human antibodies can be produced using different techniques known in the art. In one embodiment, the human anti-system is selected from a phage library, wherein the phage library exhibits human antibodies (Vaughan et al. 1996, Nature Biotechnology, 14: 309-314; Sheets et al. (1998), PNAS, (USA) 95: 6157 -6162 ; Hoogenboom and Shao! ^!·,^...,/·^/^/· 方zo/.,227:381; Marks et al. (1991), J. Mo/· 5ζ·〇/., 222: 581). Human antibodies can also be produced by introducing a human immunoglobulin locus into a transgenic animal (e.g., a mouse), and the endogenous immunoglobulin gene in the transgenic animal has been partially or completely deactivated. This method is described in U.S. Patent Nos. 5,545,807, 5,545,806, 5,569,825, 5,625,126, 5,63 3,425 and 5,6 61,016. Alternatively, human antibodies can be prepared by immortalization of human sputum granules that produce antibodies against the antigen of interest, which can be obtained from an individual or have been immunized in vitro. See, for example, C〇ie et al. Monoclonal and Cancer Therapy, Alan R. Liss, p. 77 (1985); Boerner et al. (1991), 乂, i47 (1): 86-95; and US Patent No. 5,750,373 e antibody "Variable regions" represent single or combined antibody light chain variant regions or antibody heavy chain variant regions. The heavy and light chain variant regions are each composed of four framework regions (FRs) connected by three complementarity determining regions (CDr), also referred to as highly variable regions. The CDRs in each strand are held close together by the FR' and contribute to the formation of the 21 201125583 antigen-binding site of the antibody with the CDRs of the other strands. There are at least two techniques for breaking CDRs: (1) One method is based on sequence variability between species (ie, Kabat et al. Sequence of Proteins of Immunological Interest, (5th ed., 1991, National Institutes of Health, Bethesda). MD)); and (2) are based on crystallographic studies of antigen-antibody complexes (Al-lazikani et al. (1997) Λ Mo/Kappa. 273: 927-948). A CDR as used herein may refer to CDRs as defined by either or both methods. The "constant region" of an antibody represents a single or combined antibody light chain constant region or antibody heavy chain constant region. Antibody constant regions typically provide structural stability to other biological functions such as antibody binding, secretion, transplacental mobility, and complement binding, but are not involved in antigen binding. The amino acid sequence in the constant region gene and the corresponding exon sequence depend on the species from which it is derived; however, the change in the allotype in the amino acid sequence is relatively limited in the specific species of the species. . The variant regions of each strand are bound to the constant region by linking the polypeptide sequences. The linked sequence is encoded by a combination of the "j" sequence of the light chain gene and the "D" sequence and the "J" sequence of the heavy bond gene. As used herein, "antibody-dependent cell-mediated cytotoxicity" and "ADCC" represent cell-mediated responses in which non-specific cytotoxic cells (such as natural killer (NK) cells) that express Fc receptors (FcR). , neutrophils and macrophages) identify binding antibodies on the target cells and then cause lysis of the target cells. The in-tube ADCC assay (as described in U.S. Patent No. 5,500,362 or 5,821,337) can be used to assess the ADCC activity of the knife of the 201122583 master. Useful effector cells of the above assay include peripheral blood mononuclear cells (PBMC) # NK cells. Alternatively or additionally, the adcc activity of the molecule of interest may be tested in vivo (e.g., the animal model disclosed in Clynes et al. 1998, (us A), 95:652-656). "Complement-dependent cytotoxicity" and rCDC" represent the cleavage of the target in the presence of complement. The complement activation pathway is caused by the binding of the first complement (Clq) of the complement system to a molecule (e. g., an antibody) complexed with a homologous antigen. To determine complement activation, a cdc assay such as that described in Gazzan 〇 Sant〇r〇 et al., /2, 163 (1996) can be performed. The vocabulary "polypeptide", "winning peptide", "peptide" and "protein" are used interchangeably to refer to amino acid polymers of any length. The polymer may be linear or branched, which may include a modified amino acid, and which may be interrupted by a non-amino acid and also comprise an amino acid polymer that has been modified by nature or insertion; for example, a disulfide bond , saccharification, lipidation, acetylation, phosphorylation, or any other manipulation or modification (eg, engagement with a labeling component). Also included in the definition are, for example, polypeptides comprising one or more amino acid analogs (including, for example, unnatural amino acids, etc.), as well as other techniques known in the art. Since the polypeptides of the present invention are based on antibodies Therefore, it can be understood that the polyscore can be a single bond or a link. Alternately, "nucleotides" or "nucleic acids" are used herein to refer to nucleotide polymers of any length and including DNA and RNA. The nucleotide may be a deoxyribonucleotide, a ribonucleotide, a modified nucleotide or base and/or 23 201125583 an analog thereof, or any matrix which may be incorporated into the polymer by DNA or rNA polymerase. Polynucleotides can include modified nucleotides (such as methylated nucleotides and analogs thereof). If present, the modification of the nucleotide structure can be given before or after the polymer combination. The nucleotide sequence can be interrupted by a non-nucleotide component. The polynucleotide may be further modified after polymerization, for example, by labeling components. Other types of modification include, for example, "capping dip"; replacing one or more naturally occurring nucleotides with an analog; intranucleotide modifications, such as having no charge linkage (such as methyl phosphate, phosphotriester) , nucleotides of phosphoamidate, cabamate, etc., and those having a charged linkage (such as phosphorothioate, phosphorodithioate, etc.), including overhangs Some of the nucleotides (eg, proteins (such as nucleases, toxins, antibodies, signal peptides, polylysines, etc.)), with intercalating agents (such as pyridine' psoralen (ps〇ralen), etc. Those nucleotides, those comprising a chelate (such as a metal, a radioactive metal, boron, an oxidizing metal, etc.), those comprising an alkylating agent, a modified linkage (such as an alpha) Those nucleotides that constitute a nucleic acid, etc., as well as unmodified forms of the polynucleotide. Furthermore, any hydroxyl group normally present in the sugar may be substituted by, for example, a phosphonic acid group, a phosphate group, protected by a standard protecting group, or activated to prepare additional nucleotides. Additional links, or can be joined to the solid support. The 5' and 3' terminal OH can be phosphorylated or substituted with an amine or oxime-20 carbon atom. Other hydroxyl groups can also be derivatized to standard protecting groups. The polynucleotide may also comprise a similar form of ribose or deoxyribose known in the art 'including, for example, 2,-〇-mercapto-, 2,_〇-allyl, 2,-fluoro or 2, · 24 201125583 Azide-ribose, carbocyclic analogues, oxime:-isomeric sugars, epimeric sugars such as arabinose, xylose or lyxose, piperanose, beta-flavored sugar, Sedoheptulose, an acyclic analog and an absic nucleoside analog (eg, methyl riboside) can be substituted with one or more phosphodiester linkages by an alternate linking group. These alternative linking groups include, but are not limited to, the phosphate in the examples from p(0)S ("thioate"), P(S)S ("dithioate") , ((〇)NR2 ("amidate"), P(〇)R, p(〇)〇r, c〇 or CH2 ("formacetal"), where each R or R' is The H or substituted or unsubstituted selectivity comprises an ether (1〇C)-linked alkyl group (1_2〇C), an aryl group, an alkenyl group, a cycloalkyl group, a cycloalkenyl group or an araldyi. It is not necessary to have the same linkage in all the polynucleotides. The above can be used for all of the polynucleic acids mentioned herein, including RNA and DNA. As used herein, "vector" means a construct that is capable of transmitting and preferably capable of expressing one or more of the genes or sequences of interest in a host cell. Examples of vectors include, but are not limited to, viral vectors, naked DNA or RNA expression vectors, plastids, cosmid or sputum vectors, DNA or RNA expression vectors that bind to cationic I collectors, and loaded with lipids. DNA or RNA expression vectors in the body, and certain eukaryotic cells (eg, producer cells). As used herein, "expression control sequence" means a nucleic acid sequence that directs transcription of a nucleic acid. The expression control sequence can be a promoter (such as a persistent or inducible promoter) or an enhancer. The expression control sequence is operably linked to the nucleic acid sequence to be transcribed. 25 201125583 The "effective dose" or "effective amount" of a drug, compound or pharmaceutical composition as used herein is sufficient to produce a beneficial or desired result. With regard to prophylactic applications, beneficial or desirable outcomes include, for example, eliminating or reducing risk, reducing severity, or delaying the onset of the disease, including biochemical, tissue and/or behavioral symptoms of the disease, its complications, and the development of the disease. Intermediate pathological phenomenon. With regard to therapeutic applications, beneficial or desirable outcomes include, for example, reducing one or more symptoms resulting from the disease, improving the quality of life of those suffering from the disease 'reducing the dosage of other drugs needed to treat the disease, and increasing the other drug treatment (eg, Clinical outcomes such as calibrating effects, delaying progression of the disease, and/or prolonging survival. In the case of a cancer or tumor, the effective amount of the drug may have a reduced number of cancer cells; a reduction in tumor size; inhibition (ie, slowing down to some extent and preferably stopping) infiltration of cancer cells into surrounding organs; inhibition (ie, ' slow down to To some extent, and preferably to stop) tumor metastasis; inhibit tumor growth to some extent; and/or alleviate one or more symptoms associated with abnormalities to some extent. One or more doses can be applied to apply an effective dose. With respect to the intent of the present invention, an effective amount of a drug, compound or pharmaceutical composition is an amount sufficient to effect the prevention or treatment treatment directly or indirectly. As understood in the clinical arts, an effective dosage of the drug, compound or pharmaceutical composition can be achieved with or without another drug, compound or pharmaceutical composition. Thus, the application of one or more therapeutic agents can be considered an "effective dose" if one or more other agents are combined to achieve the desired result and a single agent can be considered an effective dose. 26 201125583 The term "collocation" as used herein refers to the application of a sputum treatment form in addition to another form of treatment. Thus, "collocation" means applying a form of treatment before, during or after the application of other forms of treatment to an individual.

本文所用之「治療」係一種得到有利或所欲結 且較佳有臨床結果)的方法。關於本發明之意圖,有利或 所欲結果包括(但不限於)一或更多下列:減少(或摧毀) 癌細胞的增瘦、減少起因於疾病之症狀、提高那些羅患 疾病者的生活品質、減少治療疾病所需之其他藥物的劑 量、延遲疾病的進展與/或延長個體的存活。 本文所用之「延遲疾病的發展」意指推遲、妨礙、 減緩、阻礙、穩定與/或延緩疾病(例如,癌症)的發展。 此延遲可為任何不同長度的時間,取決於病史與/或治 療之個體1悉技術人士可理解充分或明顯的延遲實 際上可包括阻止,其中個體不發展該疾病。例如,可 延遲末期癌症,例如轉移的發展。 個體」或「受試者」係哺乳動物,較佳係人類。哺 乳動物亦包括(但不限於)農場動物、運動動物、寵物(諸 如,貓、狗、馬)、靈長類、小鼠與大鼠。 本文所用之詞囊「專一性辨別j或「專-性結合」代 表可測量與可再現的交互作用(諸如,目標與抗體間之吸 引或結合)’其在包括生物分子之異質性分子群體存在下 確疋目標的存在。例如,專一性或優先地結合目標或表 位之抗體係以較兩親合力、結合力⑽⑻⑺、更容易地與 或以較大持續時間(高於其結合其他目標或目標的其他 27 201125583 表位)結合此目標或表位的抗體。藉由閱讀此定義可理解 例如專一性或優先結合第一目標之抗體(或部分)可或不 可專一性或優先地結合第二目標。因此,「專—性結合」 或「優先結合」並不必然需要(雖然其可包括)排除性結 合。專一性結合目標之抗體的結合常數係至少約丨〇 3 Μ 或1 0 4 Μ ―1、有時約〖〇 5 M 或丨〇 6 M 、其他實例約 10 6M-1或107M-1、約l08M-丨至109M·l、或約lo 10M 1至10nM—1或更高。許多免疫試驗形式可用來選 擇專一性與特定蛋白有免疫反應之抗體。例如,固相 ELIS A免疫試驗係例行用來選擇與蛋白專一性免疫反應 之單株抗體。參閱例如,Harlow與Lane (1988)Antibodies, A Laboratory Manual, Cold Spring Harbor Publications, New York,可用於確定專一性免疫反應之免疫試驗形式 與條件的描述。 本文所用之詞彙「癌症」、「腫瘤」、「癌性」與「惡 性」代表或描述哺乳動物中的生理症狀,其一般係以未 受調控之細胞生長為特徵。癌症的實例包括(但不限於) 癌(carcinoma) ’其包括腺癌、淋巴瘤、胚細胞瘤 (blastoma)、黑色素瘤(melanoma)與肉瘤。上述癌症的更 特疋貫例包括鱗狀細胞癌、小細胞肺癌、非-小細胞肺 癌、肺腺癌、肺鱗狀細胞癌、胃腸癌、霍奇金氏(H〇dgkin,s) 與非-霍奇金氏淋巴瘤、姨臟癌、神經勝母細胞瘤、子宮 頸癌、神經膠質瘤(gli〇ma)、卵巢癌、肝臟癌症(諸如’ 肝癌(hepatic carcinoma)與肝癌(hepatoma))、膀胱癌、乳 28 201125583 癌結腸癌、大腸直腸癌、子宮内膜或子宮癌、唾腺癌、 腎臟癌症(諸如,腎細胞癌與威爾姆氏(觀叫,)腫瘤)、基 底胞癌、黑色素瘤、前列腺癌、曱狀腺癌、睪丸癌、 食道癌與不同類型的頭頸部癌。 除非文中另有明示,否則本文與附屬之申請專利範圍 中斤用之單數形式「一」與「該」包括複數對照物。例 七·至丨 抗體」係提到一或更多抗體(例如,莫耳量) 鲁 且包括其技術中習知的等效物等。 本文提及「約」數值或參數包括(且描述)針對數值或 參數本身之實施例。例如,提及Γ約X _1之描述包括「X」 之描述。 可以理解本文所述之本發明的態樣與變化包括態樣 與變化「構成」與/或「實質構成」的那些。 專一性結合EpCAM之抗體與聚胜肽 _ 本發明提供單離抗體與自抗體衍生之聚胜肽與任何 結合抗體之試劑,其在試管内專一性結合癌症細胞之 細胞表面上表現之EpCAM並在缺少細胞毒素接合與 免疫效應子功能(包括ADCC與CDC活性)的情況下引 發癌症細胞之實質細胞凋亡。 本發明提供單離單株抗體,該抗體專一性結合人類 EpCAM之胺基酸24-63中之表位’其中試管内單獨抗 體在結合癌症細胞之細胞表面上之表位後引發人類癌 症細胞之細胞凋亡。某些實施例中,單獨抗體對人類 29 201125583 肺癌細胞株N CI - Η 3 5 8的細胞调亡-引發活性係至少約 選自 12Η8、1F10、1G10、2D11、6D11 與 4D2 組成之 群組的抗體之活性的90% ’其中藉由在約1 〇 Ug/mi濃 度的抗體下培養人類肺癌細胞約16-20小時來測量細 胞凋亡·引發活性。 某些實施例中’本發明之抗體或聚胜肽結合第1圖 所示之人類EpC AM與/或天然出現的變體。 某些實施例中’本發明之抗體或聚胜肽在試管内結 ® 合癌症細胞之細胞表面上表現之EpCAM,且單獨抗體 或聚胜肽引發癌症細胞之細胞凋亡。某些實施例中, 抗體或聚胜狀的細胞调亡-引發活性係至少約選自 12H8、1F10、1G10、2D11、6D11 與 4D2 組成之群組 的抗體之活性的90%,其中藉由在約1〇 ug/ml濃度的 抗體或聚胜肽下培養人類肺癌細胞NCI-H358約16-20 小時來測量細胞凋亡-引發活性。某些實施例十,抗體 _ 或聚胜肽的細胞凋亡-引發活性係至少約選自12H8、 1F10、1G10、2D11、6D11與4D2組成之群組的抗體 之活性的約95%、至少約100%或更高。人類肺癌細胞 株NCI-H358係來自支氣管肺泡細胞癌,且可自ATCC 以ATCC存取號PTA-10386取得。 本發明之抗體與聚胜肽在結合癌症細胞之細胞表面 上表現之EpCAM後能夠單獨引發細胞凋亡。本文所用 之詞彙「引發細胞凋亡」意指本發明之抗體或聚胜肽 可直接與細胞表面上表現之分子交互作用,且結合/交 30 201125583 互作用單獨係足以引發細胞中的細胞凋亡而不需其他 因子的幫助,其他因子諸如細胞毒素接合、其他免疫 效應子功能(即,補體-依賴型細胞毒性(CDC)、抗體_ 依賴型細胞毒性(ADCC)或胞噬作用)或交聯劑。 本文所用之詞彙「細胞〉周亡(apopt〇sis)」代表細胞内細 胞破壞的基因·引導過程。細胞凋亡不同於細胞壞死 (necrosis);其包括細胞骨架瓦解、細胞質收縮與凝聚、 磷脂絲胺酸表現在細胞膜的外表面上與皰,造成細胞膜 連結囊或凋亡小體的形成。該過程亦稱為「計畫性細胞 死亡」。細胞凋亡過程中發現特有現象,諸如細胞表面彎 曲、細胞核染色絲的凝聚、染色體DNA的片段化與粒線 體功能的喪失。許多習知技術可用來偵測細胞凋亡,諸 如以Annexin V、碘化丙錠、DNA片段試驗與 (Invitrogen)來染細胞。某些實施例中,可應用Annexin v 與埃化丙鍵之染色’而 Annexin V+/PI+、Annexin V+/PI-與Annexin V-/PI +結合百分比的群組被視為死細胞。 某些實施例中,本發明之抗體或聚胜肽結合序列編 號.1之胺基酸24-63中之表位。結合可專一性取決於 該區中之特定胺基酸殘基的存在。舉例而言,結合抗 體或聚胜肽可取決於下列胺基酸殘基基團的存在:(1) Q24、Ε25 與 Ν42 ; (2) Q24、Ε25、Ε26、Ν37、Ν41、 Q47 與 Τ49 ; (3) Ε25、V40 與 R44 ; (4) Ν41、Ν43 與 R44 ;或(5) Q24、Ε25、Α35、F39、V40、Ν41、R44、 Q45與Q47。為了確定抗體之結合是否取決於胺基酸殘 31 201125583 基之存在’可如實例6所述般比較抗體對突變;EpC AM 與野生型EpCAM之相對結合活性。若胺基酸突變成無 關胺基酸(例如,突變成對應之鼠科EpCAM胺基酸殘 基或非保守性突變)造成相對結合活性減少超過5〇0/〇, 將視為抗體之結合取決於該胺基酸殘基之存在。 某些實施例中’本發明提供之單株抗體與任何選自 12H8、1F10、lG10、2Dn、6Dn 與 4D2 所構成之群As used herein, "treatment" is a method of obtaining a favorable or desired result, preferably with clinical results. With regard to the intent of the present invention, advantageous or desired results include, but are not limited to, one or more of the following: reducing (or destroying) the thinning of cancer cells, reducing the symptoms of the disease, and improving the quality of life of those suffering from the disease. , reducing the dose of other drugs needed to treat the disease, delaying the progression of the disease and/or prolonging the survival of the individual. As used herein, "delayed development of disease" means delaying, obstructing, slowing, hindering, stabilizing, and/or delaying the progression of a disease (eg, cancer). This delay can be any time of varying length, depending on the history and/or treatment of the individual. It will be understood by those skilled in the art that a sufficient or significant delay may actually include blocking, wherein the individual does not develop the disease. For example, late cancer can be delayed, such as the development of metastasis. An individual or a subject is a mammal, preferably a human. Nursing animals also include, but are not limited to, farm animals, sport animals, pets (e.g., cats, dogs, horses), primates, mice, and rats. As used herein, the term "specificity discrimination j" or "special-sexual binding" represents a measurable and reproducible interaction (such as attraction or binding between a target and an antibody), which exists in a heterogeneous molecular population including biomolecules. The next is to confirm the existence of the target. For example, specificity or preferential binding of a target or epitope to an anti-system with more affinity, binding (10) (8) (7), easier or with a greater duration (above other 27 201125583 epitopes in combination with other targets or targets) An antibody that binds to this target or epitope. By reading this definition, it is understood that, for example, antibodies (or portions) that are specific or preferentially associated with a first target may or may not be specific or preferentially associated with a second target. Therefore, "exclusive-sexual integration" or "priority combination" does not necessarily require (although it may include) exclusionary associations. The binding constant of the antibody specifically binding to the target is at least about Μ3 Μ or 1 0 4 Μ ―1, sometimes about 〇5 M or 丨〇6 M, other examples about 10 6M-1 or 107M-1, about l08M-丨 to 109M·l, or about lo 10M 1 to 10nM-1 or higher. Many forms of immunoassays can be used to select antibodies that are specific for their immune response to a particular protein. For example, the solid phase ELIS A immunoassay is routinely used to select monoclonal antibodies that are specific for a protein-specific immune response. See, for example, Harlow and Lane (1988) Antibodies, A Laboratory Manual, Cold Spring Harbor Publications, New York, for a description of the forms and conditions of immunoassays for determining a specific immune response. As used herein, the terms "cancer," "tumor," "cancerous," and "malignant" represent or describe a physiological condition in a mammal that is generally characterized by unregulated cell growth. Examples of cancer include, but are not limited to, carcinoma, which includes adenocarcinoma, lymphoma, blastoma, melanoma, and sarcoma. More specific examples of such cancers include squamous cell carcinoma, small cell lung cancer, non-small cell lung cancer, lung adenocarcinoma, lung squamous cell carcinoma, gastrointestinal cancer, Hodgkin's and non- - Hodgkin's lymphoma, sputum cancer, neuroblastoma, cervical cancer, glioma, ovarian cancer, liver cancer (such as 'hepatic carcinoma and liver cancer (hepatoma)) , bladder cancer, milk 28 201125583 Cancer colon cancer, colorectal cancer, endometrial or uterine cancer, salivary gland cancer, kidney cancer (such as renal cell carcinoma and Wilm's (view), basal cell carcinoma , melanoma, prostate cancer, squamous adenocarcinoma, testicular cancer, esophageal cancer and different types of head and neck cancer. The singular forms "a" and "the" are used in the s Examples of antibodies to antibodies include one or more antibodies (e.g., molar amounts) and include equivalents and the like as known in the art. References herein to "about" values or parameters include (and describe) embodiments that are directed to a value or parameter. For example, the description of the reference X _1 includes a description of "X". It will be understood that aspects and variations of the invention described herein include those that "comprise" and/or "substantially". The antibody and the polypeptide which specifically bind to EpCAM - the present invention provides an isolated antibody and a self-antibody-derived polypeptide and any antibody-binding reagent which specifically binds EpCAM on the cell surface of a cancer cell in a test tube and The lack of cytotoxic junctions and immune effector functions (including ADCC and CDC activity) triggers parenchymal apoptosis in cancer cells. The present invention provides an isolated monoclonal antibody that specifically binds to an epitope in amino acid 24-63 of human EpCAM, wherein an antibody in a test tube elicits a human cancer cell after binding to an epitope on the surface of a cell of a cancer cell Apoptosis. In certain embodiments, the cell apoptosis-initiating activity of the individual antibody against human 29 201125583 lung cancer cell line N CI - Η 3 5 8 is at least selected from the group consisting of 12Η8, 1F10, 1G10, 2D11, 6D11, and 4D2. 90% of the activity of the antibody 'The apoptosis/initiation activity was measured by culturing human lung cancer cells under an antibody concentration of about 1 〇 Ug/mi for about 16-20 hours. In certain embodiments, the antibody or polypeptide of the invention binds to human EpC AM and/or naturally occurring variants as shown in Figure 1. In certain embodiments, the antibody or polypeptide of the present invention expresses EpCAM on the cell surface of a cancer cell in a test tube, and the antibody alone or the polypeptide induces apoptosis of the cancer cell. In certain embodiments, the antibody or polymorphic cell apoptosis-initiating activity is at least about 90% of the activity of an antibody selected from the group consisting of 12H8, 1F10, 1G10, 2D11, 6D11, and 4D2, wherein Human lung cancer cells NCI-H358 were cultured for about 16-20 hours under antibody or polypeptide at a concentration of about 1 ug/ml to measure apoptosis-priming activity. In certain embodiments, the apoptosis-initiating activity of the antibody or polypeptide is at least about 95%, at least about the activity of an antibody selected from the group consisting of 12H8, 1F10, 1G10, 2D11, 6D11 and 4D2. 100% or higher. The human lung cancer cell line NCI-H358 is derived from bronchoalveolar cell carcinoma and is available from ATCC under ATCC Accession No. PTA-10386. The antibody of the present invention and the polypeptide can induce apoptosis alone after expressing EpCAM on the cell surface of the cancer cell. The term "priming apoptosis" as used herein means that the antibody or polypeptide of the present invention directly interacts with a molecule expressed on the cell surface, and the binding/crossing 30 201125583 interaction alone is sufficient to induce apoptosis in the cell. Other factors such as cytotoxic junctions, other immune effector functions (ie, complement-dependent cytotoxicity (CDC), antibody-dependent cytotoxicity (ADCC) or phagocytosis) or cross-linking without the aid of other factors Agent. The term "apopt〇sis" as used herein refers to a gene-directed process of cell destruction in cells. Apoptosis is different from necrosis; it includes cytoskeletal disruption, cytoplasmic contraction and coagulation, and phospholipid serine appears on the outer surface of the cell membrane and blister, causing the formation of cell membrane vesicles or apoptotic bodies. This process is also known as "planned cell death." Peculiar phenomena are found during apoptosis, such as cell surface curvature, condensation of nuclear filaments, fragmentation of chromosomal DNA, and loss of mitochondrial function. Many conventional techniques can be used to detect apoptosis, such as by Annexin V, propidium iodide, DNA fragment assays and (Invitrogen) staining of cells. In some embodiments, a group that can be stained with Annexin v and Acetone linkages while Annexin V+/PI+, Annexin V+/PI- and Annexin V-/PI+ binding percentages are considered dead cells. In certain embodiments, an antibody or polypeptide of the invention binds to an epitope in the amino acid 24-63 of the sequence No. 1. Binding specificity depends on the presence of a particular amino acid residue in the region. For example, the binding antibody or polypeptide can depend on the presence of the following amino acid residue groups: (1) Q24, Ε25 and Ν42; (2) Q24, Ε25, Ε26, Ν37, Ν41, Q47 and Τ49; (3) Ε25, V40 and R44; (4) Ν41, Ν43 and R44; or (5) Q24, Ε25, Α35, F39, V40, Ν41, R44, Q45 and Q47. To determine if the binding of the antibody depends on the presence of the amino acid residue 31 201125583, the antibody pair mutation can be compared as described in Example 6; the relative binding activity of EpC AM to wild type EpCAM. If the amino acid is mutated to an unrelated amino acid (for example, mutated to the corresponding murine EpCAM amino acid residue or a non-conservative mutation), the relative binding activity is reduced by more than 5〇0/〇, which is considered to be the binding of the antibody. The presence of the amino acid residue. In certain embodiments, the monoclonal antibody provided by the present invention and any group selected from the group consisting of 12H8, 1F10, lG10, 2Dn, 6Dn and 4D2

組之抗體競爭結合EpCAM。某些實施例中,本發明提 供之單株抗體與任何選自12H8、1F1〇、iG1〇、2Du、 6D1 1與4D2所構成之群組之抗體結合相同表位。 競爭试驗可用來確定是否兩個抗體藉由辨別相同或空 間上重疊的表位結合相同表位或是一抗體競爭式抑制 -抗體對抗原的結合。技術中習知這些試驗…般而言, 將抗原或抗原表現細胞固定在多孔盤中並測量未心 體阻礙標記抗體之社人的士 L x 仇 菔之、,口 口的此力。上述競爭式試驗常用 標記係放射性標記或酵素標記。例如,以結合EpCAM々 =一標記抗體與濃度逐漸提高的第二未標記抗體處 疋之EpCAM。對照組為以第一標記抗體但 記抗體處理固定之EpCA 乐未標 ^ /ν , ρ 在讓第—抗體結合epCaiuGroups of antibodies compete for binding to EpCAM. In certain embodiments, a monoclonal antibody provided by the present invention binds to the same epitope as any antibody selected from the group consisting of 12H8, 1F1〇, iG1〇, 2Du, 6D1 1 and 4D2. Competition assays can be used to determine if two antibodies bind to the same epitope by an identical or spatially overlapping epitope or an antibody competitively inhibits - antibody binding to an antigen. These tests are conventionally known in the art. In general, antigen or antigen-expressing cells are immobilized in a porous disk and the force of the mouth of the human body L x 仇 菔, which is not blocked by the heart-shaped antibody, is measured. The above-mentioned competitive assays are commonly used for labeling radioactive labels or enzyme labels. For example, EpCAM is conjugated to a second unlabeled antibody that binds EpCAM® = one labeled antibody to a gradually increasing concentration. The control group was treated with the first labeled antibody but the antibody was fixed. EpCA was not labeled ^ /ν , ρ in the first antibody to bind epCaiu

的條件下處理後,移除過量 AM ^ ^ ^ 的未結合抗體並測量結合田 疋之EpCAM的標記量。若當試 第-標記抗體的濃度為100:1或更八广抗體相對 更高、或1000 : i戋更高)時 。=如’ 500 . 1或 ㈣太較於對照樣本而言1 驗樣本中結合固定之EpCAM 。式 们h 5己罝實質減少(諸如, 32 201125583 減少至少約50%、至少約60%、至少約7〇%、至少約8〇〇/〇 或至少約9〇%) ’將第二抗體視為與第一抗體競爭結合 EpCAM。可用來定位抗體結合之其他方法由Morris (1996)於 ar 仏〇/〇灯 v 66 (HumanaAfter treatment under the conditions, excess AM ^ ^ ^ unbound antibody was removed and the amount of labeled EpCAM bound to the field was measured. If the concentration of the test-labeled antibody is 100:1 or more, the antibody is relatively higher, or 1000:i is higher. = such as '500. 1 or (d) too much compared to the control sample 1 test combined with fixed EpCAM. Substantially reduced (e.g., 32 201125583 is reduced by at least about 50%, at least about 60%, at least about 7〇%, at least about 8〇〇/〇, or at least about 9〇%). To compete with the first antibody for binding to EpCAM. Other methods that can be used to localize antibody binding by Morris (1996) on ar 仏〇/〇灯 v 66 (Humana

Press, Totowa,NJ)中之「Epitope Mapping Protocols」提 出。 某些實施例中’本發明提供之抗_EpCAM抗體包括: 重鏈變異區,包括一個、兩個或三個序列編號:3之 CDR,與/或輕鏈變異區,包括一個、兩個或三個序列 編號:5之CDR。某些實施例中,本發明提供之抗 -EpCAM抗體包括:重鏈變異區,包括一個、兩個或三 個序列編號:7之CDR ;與/或輕鏈變異區,包括一個、 兩個或三個序列編號:9之CDR。某些實施例中,本 發明提供之抗-EpCAM抗體包括:重鏈變異區,包括一 個' 兩個或二個序列編號:11之CDr ;與/或輕鏈變異 區’包括一個、兩個或三個序列編號:丨3之CDR。某 些實施例中,本發明提供之抗_EpCAM抗體包括:重鏈 變異區’包括一個、兩個或三個序列編號:丨5之Cdr ; 與/或輕鏈變異區,包括一個、兩個或三個序列編號: 17之CDR。某些實施例中,本發明提供之抗_EpCAM 抗體包括:重鏈變異區’包括一個、兩個或三個序列 編號· 19之CDR ;與/或輕鏈變異區,包括一個、兩個 或三個序列編號:21之CDR。某些實施例中,本發明 提供之抗-EpCAM抗體包括:重鏈變異區,包括一個、 33 201125583 兩個或二個序列編號:23之CDR ;與/或輕鏈變異區, 包括一個、兩個或三個序列編號:25之CDR。 某些貫施例中’ CDR係Kabat CDR。其他實施例 中,CDR係Chothia CDR。其他實施例中,CDR係"Epitope Mapping Protocols" in Press, Totowa, NJ). In certain embodiments, the anti-EpCAM antibody provided by the present invention comprises: a heavy chain variant region comprising one, two or three SEQ ID NO: 3 CDRs, and/or a light chain variant region, including one, two or Three SEQ ID NO: 5 CDRs. And R. Three sequence numbers: CDR of 9. In certain embodiments, the anti-EpCAM antibodies provided herein comprise: a heavy chain variant region comprising a 'two or two SEQ ID NO: 11 CDr; and/or a light chain variant region' comprising one, two or Three sequence numbers: CDRs of 丨3. In certain embodiments, the anti-EpCAM antibodies provided by the invention comprise: a heavy chain variant region comprising one, two or three sequence numbers: Cdr of 丨5; and/or a region of light chain variation, including one or two Or three serial numbers: 17 CDRs. In certain embodiments, the anti-EpCAM antibodies provided by the invention comprise: a heavy chain variant region comprising one, two or three CDRs of SEQ ID NO: 19; and/or a light chain variant region comprising one, two or Three SEQ ID NO: 21 CDRs. In certain embodiments, the anti-EpCAM antibodies provided by the present invention comprise: a heavy chain variant region comprising: one, 33 201125583 two or two SEQ ID NO: 23; and/or a light chain variant region, including one, two Or three sequence numbers: 25 CDRs. In some embodiments, the 'CDRs are Kabat CDRs. In other embodiments, the CDRs are Chothia CDRs. In other embodiments, the CDR system

Kabat與Chothia CDR的組合(亦稱為「組合式CDR」 或「延伸式(extended)CDR」)^換句話說,對於任何包 含超過一個CDR的已知實施例而言,CDR可為Kabat、 Chothia與/或組合式任一者。 某些實施例中’本文所述之抗_EpCAM抗體可具有一 或多個CDR,該一或多個CDR的胺基酸序列係至少約 90%、至少約91%、至少約92%、至少約93°/❶、至少約 94%、至少約95%、至少約96%、至少約97%、至少約 98%或至少約99%相同於選自12H8、1F10、1G10、2DH、 6D11與4D2所組成之群組之抗體的至少一、至少兩個、 至少三個、至少四個、至少五個或六個CDR。 某些實施例中,本發明提供之抗-EpCAM抗體包括重 鏈變異區,包括序列編號:3之胺基酸序列;與/或輕 鏈變異區,包括序列編號:5之胺基酸序列。某些實施 例中,本發明提供之抗-EpCAM抗體包括重鏈變異區, 包括序列編號:7之胺基酸序列;與/或輕鏈變異區’ 包括序列編號:9之胺基酸序列。某些實施例中’本發 明提供之抗-EpCAM抗體包括重鏈變異區’包括序列編 號:11之胺基酸序列;與/或輕鏈變異區,包括序列編 號:13之胺基酸序列。某些實施例中’本發明提供之 34 201125583 抗-EpC AM抗體包括重鍵變異區’包括序列編號:15 之胺基酸序列;與/或輕鍵變異區’包括序列編號:1 7 之胺基酸序列°某些實施例中,本發明提供之抗 -EpCAM抗體包括重鏈變異區,包括序列編號:19之 胺基酸序列;與/或輕鍵變異區,包括序列編號:21之 胺基酸序列。某些實施例中’本發明提供之抗-EpC AM 抗體包括重鏈變異區’包括序列編號:23之胺基酸序 列;與/或輕鏈變異區’包括序列編號:25之胺基酸序 列。 某些實施例中’抗體之重鏈恆定區與/或輕鏈恆定區 中之一或多個胺基酸殘基係經修飾(包括胺基酸插 入、刪除與取代)。修飾之胺基酸序列係至少約90% ' 至少約91%、至少約92%、至少約93%、至少約94%、 至少約95%、至少約96%、至少約97%、至少約980/〇 或至少約99%相同於修飾前之序列。 表現EpCAM之癌症細胞實例包括(但不限於)乳癌、 大腸直腸癌、胃癌、肺癌、前列腺癌、胰臟癌、咽喉 癌與卵巢癌。 本發明包括對本文所述抗體或聚胜肽之修飾,其包括 不會明顯影響其之特性的功能上等效抗體以及活性與/ 或親合力提高或減少的變體。例如,抗體之胺基酸序列 可經突變以取得對癌症細胞表現之EpCAM具有所欲結 合親合力的抗體。聚胜肽的修飾係技術中的例行實踐而 不必在本文中詳細描述。修飾之聚胜肽的實例包括具有 35 201125583 保守性取代胺基酸殘基之聚胜肽、一或更多不明顯傷害 地改變功能活性的胺基酸刪除或附加或化學類似物之應 用。Combination of Kabat and Chothia CDRs (also referred to as "combined CDRs" or "extended CDRs") ^ In other words, for any known embodiment comprising more than one CDR, the CDRs may be Kabat, Chothia And / or combination of any. In certain embodiments, an anti-EpCAM antibody described herein can have one or more CDRs, the amino acid sequence of the one or more CDRs being at least about 90%, at least about 91%, at least about 92%, at least About 93°/❶, at least about 94%, at least about 95%, at least about 96%, at least about 97%, at least about 98%, or at least about 99% are selected from the group consisting of 12H8, 1F10, 1G10, 2DH, 6D11, and 4D2. At least one, at least two, at least three, at least four, at least five or six CDRs of the antibody of the group formed. In certain embodiments, the anti-EpCAM antibodies provided herein comprise a heavy chain variant region comprising an amino acid sequence of SEQ ID NO: 3; and/or a light chain variant region comprising the amino acid sequence of SEQ ID NO: 5. In certain embodiments, the anti-EpCAM antibodies provided herein comprise a heavy chain variant region comprising an amino acid sequence of SEQ ID NO: 7; and/or a light chain variant region' comprising the amino acid sequence of SEQ ID NO: 9. In certain embodiments, the anti-EpCAM antibody provided by the present invention comprises a heavy chain variant region' comprising the amino acid sequence of sequence number: 11; and/or a light chain variant region comprising the amino acid sequence of sequence number: 13. In certain embodiments, the invention provides a 34 201125583 anti-EpC AM antibody comprising a heavy bond variant region comprising an amino acid sequence of SEQ ID NO: 15; and/or a light bond variant region comprising an SEQ ID NO: 1 7 amine Base acid sequence ° In certain embodiments, the anti-EpCAM antibody provided by the present invention comprises a heavy chain variant region, including the amino acid sequence of SEQ ID NO: 19; and/or a light bond variant region, including an amine of SEQ ID NO: 21. Base acid sequence. In certain embodiments, the anti-EpC AM antibody provided by the present invention comprises a heavy chain variant region comprising an amino acid sequence of SEQ ID NO: 23; and/or a light chain variant region comprising an amino acid sequence of SEQ ID NO: 25. . In certain embodiments, one or more of the amino acid residues in the heavy chain constant region and/or the light chain constant region of the antibody are modified (including amino acid insertions, deletions, and substitutions). The modified amino acid sequence is at least about 90% 'at least about 91%, at least about 92%, at least about 93%, at least about 94%, at least about 95%, at least about 96%, at least about 97%, at least about 980. /〇 or at least about 99% identical to the sequence before modification. Examples of cancer cells that exhibit EpCAM include, but are not limited to, breast cancer, colorectal cancer, gastric cancer, lung cancer, prostate cancer, pancreatic cancer, throat cancer, and ovarian cancer. The invention includes modifications to the antibodies or polypeptides described herein, including functionally equivalent antibodies that do not significantly affect their properties, as well as variants with increased or decreased activity and/or affinity. For example, the amino acid sequence of an antibody can be mutated to obtain an antibody having the desired binding affinity for EpCAM expressed by cancer cells. Routine practice in the modification of polypeptides is not necessarily described in detail herein. Examples of modified polypeptides include polypeptides having 35 201125583 conservative substituted amino acid residues, one or more amino acid deletions or additional or chemical analogs that do not significantly alter the functional activity.

胺基酸序列插入包括長度範圍由一個殘基至包含一百 或更多殘基之聚胜肽的胺基-與/或羧基-末端融合以及單 一或多個胺基酸殘基的序列内插入。末端插入的實例包 括具有N-端曱硫胺醯基殘基之抗體或融合至表位標記之 抗體。其他抗體分子的插入變體包括在抗體之N-或C-端融合可提高抗體血清半生期之酵素或聚胜肽。 取代變體移除抗體分子中之至少一胺基酸殘基並在其 位置插入不同殘基。取代突變最有興趣的位置包括高度 變異區,但亦可考慮FR改變。保守性取代顯示於標題「保 守性取代」下之表中。若上述取代造成生物活性的改變, 那麼可導入更多下表中稱為「示範性取代」或參照胺基 酸類型進一步描述於下的實質改變並篩選產物。 表1 :胺基酸取代 原始殘基 保守性取代 示範性取代 Ala (A) Val Val ; Leu ; lie Arg(R) Lys Lys ; Gin ; Asn Asn (N) Gin Gin ; His ; Asp ; Lys ; Arg Asp (D) Glu Glu ; Asn Cys(C) Ser Ser ; Ala Gln(Q) Asn Asn ; Glu Glu(E) Asp Asp ; Gin Gly(G) Ala Ala 36 201125583Amino acid sequence insertion includes intra- and/or carboxy-terminal fusions of a length ranging from one residue to a poly-peptide comprising one hundred or more residues and insertion of a single or multiple amino acid residues . Examples of the terminal insertion include an antibody having an N-terminal thiol sulfhydryl residue or an antibody fused to an epitope tag. Insertion variants of other antibody molecules include fusions at the N- or C-terminus of the antibody that increase the serum half-life of the antibody. The substitution variant removes at least one amino acid residue in the antibody molecule and inserts a different residue at its position. The most interesting locations for substitution mutations include highly variable regions, but FR changes can also be considered. Conservative substitutions are shown in the table under the heading “Reservative Substitution”. If the above substitution results in a change in biological activity, more substantial changes referred to in the table below as "exemplary substitutions" or reference amino acid types can be introduced and the products screened. Table 1: Amino acid substitutions Original residues Conservative substitutions Exemplary substitutions Ala (A) Val Val ; Leu ; lie Arg ( R ) Lys Lys ; Gin ; Asn Asn ( N ) Gin Gin ; His ; Asp ; Lys ; Arg Asp (D) Glu Glu ; Asn Cys ( C ) Ser Ser ; Ala Gln ( Q ) Asn Asn ; Glu Glu ( E ) Asp Asp ; Gin Gly ( G ) Ala Ala 36 201125583

His(H) Arg Asn ; Gin ; Lys ; Arg He (I) Leu Leu ; Val ; Met ; Ala ; Phe ;正白胺酸 Leu (L) lie 正白胺酸;lie ; Val ; Met ; Ala ; Phe Lys (K) Arg Arg ; Gin ; Asn Met (M) Leu Leu ; Phe ; lie Phe (F) Tyr Leu ; Val ; lie ; Ala ; Tyr Pro (P) Ala Ala Ser(S) Thr Thr Thr(T) Ser Ser Trp(W) Tyr Tyr ; Phe Tyr⑺ Phe Trp ; Phe ; Thr ; Ser Val(V) Leu lie ; Leu ; Met ; Phe ; Ala ;正白胺酸His(H) Arg Asn ; Gin ; Lys ; Arg He ( I ) Leu Leu ; Val ; Met ; Ala ; Phe ; Leukine Leu ( L ) lie , leucine , lie , Val , Met , Ala , Phe Lys (K) Arg Arg ; Gin ; Asn Met ( M ) Leu Leu ; Phe ; lie Phe (F) Tyr Leu ; Val ; lie ; Ala ; Tyr Pro (P) Ala Ala Ser(S) Thr Thr Thr(T) Ser Ser Trp(W) Tyr Tyr ; Phe Tyr(7) Phe Trp ; Phe ; Thr ; Ser Val(V) Leu lie ; Leu ; Met ; Phe ; Ala ;

可藉由選擇取代來達成抗體之生物特性的實質修飾, 該取代明顯改變其維持下列特性之作用:(a)取代區域中 之聚胜肽骨幹的結構,例如片狀或螺旋狀構形,(b)分子 在目標位置處的電荷或疏水性,或(c)侧鏈的主體。根據 共同側鏈特性可將自然存在殘基分為幾組: (1) 非極性:正白胺酸、Met、Ala、Val、Leu、lie; (2) 極性不帶電荷:Cys、Ser、Thr、Asn、Gin ; (3) 酸性(負電):Asp、Glu ; (4) 驗性(正電):Lys、Arg ; (5) 影響鏈方向的殘基:Gly、Pro ;及 (6) 芳香族:Trp、Tyr、Phe、His。 37 201125583 可藉由改變這歧類创夕 j,, a —頰型之一的成員為另一類型來 -保守性取代。 亦通常以絲胺酸取代不牵涉於維持適當構形的任何半 胱胺酸殘基以&善分子的氧化穩定性錢防異常的交 聯。相反地,可將半胱胺酸鍵結加至抗體以改善其之穩 定性,特別係當抗體係抗體片段(例如,Fv片段)時。 胺基酸修飾的範圍由改變或修飾一或更多胺基酸至完 全重新設計區域(例如,變異區)。變異區中的變化可改 變結合親合力與/或專一性。某些實施例中,在cdr區 域中不產生超過1-5個保守性胺基酸取代。其他實施例 中,在CDR區域中不產生超過u個保守性胺基酸取 代。又其他貫施例中’ CDR區域係CDRH3與/或CDR L3。 修飾亦包括醣化與非醣化聚胜肽、以及具有其他轉譯 後修飾的聚胜肽’諸如不同糖類的醣化、乙醯化與磷酸 化。抗體在其值定區之保守性位置被醣化(Jefferis與A substantial modification of the biological properties of the antibody can be achieved by selective substitution, which significantly alters its effect on the maintenance of: (a) the structure of the backbone of the polypeptide in the substitution region, such as a sheet or helical configuration, ( b) the charge or hydrophobicity of the molecule at the target position, or (c) the bulk of the side chain. According to the common side chain characteristics, naturally occurring residues can be divided into several groups: (1) Non-polar: positive leucine, Met, Ala, Val, Leu, lie; (2) Polarity without charge: Cys, Ser, Thr (3) Acidic (negative): Asp, Glu; (4) Qualitative (positive): Lys, Arg; (5) Residues affecting chain direction: Gly, Pro; and (6) Aroma Family: Trp, Tyr, Phe, His. 37 201125583 By changing this genus j, a member of one of the cheeks is another type - conservative substitution. It is also common to replace any cysteine residues that are not involved in maintaining proper conformation with serine acid to prevent abnormal cross-linking with < Conversely, a cysteine linkage can be added to the antibody to improve its stability, particularly when against a systemic antibody fragment (e.g., an Fv fragment). Amino acid modifications range from altering or modifying one or more amino acids to a fully redesigned region (e.g., a variant region). Changes in the variant region can alter binding affinity and/or specificity. In certain embodiments, no more than one to five conservative amino acid substitutions are produced in the cdr region. In other embodiments, no more than u conservative amino acid substitutions are produced in the CDR regions. In still other embodiments, the CDR regions are CDRH3 and/or CDR L3. Modifications also include saccharification and non-glycation of polypeptides, as well as glycosylation, acetylation and phosphorylation of different peptides such as different carbohydrates. The antibody is saccharified at a conserved position in its region (Jefferis and

Lund, (1997),C/zew. //wmw«o/· 65:1 11-128 ; Wright 與 Morrison,(1997),7767^C// 15:26-32)。免疫球蛋白之侧 鏈的寡醣影響蛋白的功能(Boyd等人(1996),Mo/. //wmwwo/. 32:1311-1318 ; Wittwe 與 Howard, (1990), 29:4175-4180),而醣蛋白部分之間的分子内交 互作用可影響醣蛋白的構形與呈現之三維表面(Hefferis 與 Lund,同上之文獻;Wyss 與 Wagner, (1996),Cwrreni B/oiec/z. 7:409-416)。寡醣亦可根據特定辨別結構 將已知醣蛋白指向某些分子。亦已經發表抗體的醣化會 38 201125583 影響抗體-依賴型細胞毒性(ADCC)。明確地說,已經發 表具有四環素-調控表現之β(1,4)-Ν-乙醯基葡萄糖胺醯 基轉移酶 ΪΠ (β(1,4)-N-acetylglucosaminyltransferase, GnTIII)(二分GlcNAc之醣基轉移酶催化形成)的CHO 細胞具有改善的ADCC活性(Umana等人(1999), S/oiec/7. 17:176-180)。 抗體的醣化通常係N-連結或〇-連結任一者。N-連結代 表醣類部分附著至天冬醯胺酸殘基的側鏈。三胜肽序 列:天冬醯胺酸-X-絲胺酸、天冬醯胺酸_χ_蘇胺酸與天 冬醯胺酸-X-半胱胺酸,其中X係任何胺基酸除了脯胺 酸;係將醣類部分酵素附著至天冬醯胺酸側鏈的辨別序 列。因此’這些三胜肽序列的任一者存在於聚胜肽中可 產生可能的醣化位置。〇-連結醣化代表將醣類Ν_乙醯半 乳胺糖、半乳糖或木糖之一附著至羥基胺基酸,大部分 通常係絲胺酸或蘇胺酸(但亦可應用5 -經基脯胺酸或5 -羥離胺酸)。 可藉由改變胺基酸序列而方便地達成將醣化位置附著 至抗體’以至其包含一或更多上述之三胜狀序列(用於 Ν-連結醣化位置)。亦可藉由附加一或更多絲胺酸或蘇胺 酸殘基至原始抗體序列或以一或更多絲胺酸或蘇胺酸殘 基取代來達成改變(用於〇-連結醣化位置)。 亦可改變抗體醣化型態而不改變根本的核苦酸序列。 膽化大部分取決於用於表現抗體之宿主細胞。由於用來 表現重組醣蛋白(例如’抗體)作為可能治療方法的細胞 39 201125583 類型很少係自然細胞,因此可預期抗體之醣化型態的改 變(參閱例如,Hse 等人(1997), */· 仏C/iem. 272:9062-9070)。 可樂見參照效應子功能修飾本文所述之抗體之 Fc 區,例如提高抗體之抗原-依賴型細胞介導細胞毒性 (ADCC)與/或補體依賴型細胞毒性(CDC)。這可藉由在Fc 區中導入一或多個胺基酸取代來加以達成。技術中習知 可經取代之胺基酸。 本發明之抗體包括抗體片段(諸如,Fab、Fab’、 F(ab’)2、Fv、Fc等)、嵌合抗體、單鏈(ScFv)、其之突變、 包含抗體部分的融合蛋白、以及免疫球蛋白分子的任何 其他修飾結構,其包括專一性所需之抗原辨別位置。抗 體可為鼠科、大鼠、路駝、人類或任何其他來源(包括擬 人化抗體)。 聚胜肽(包括抗體)對EpCAM的結合親合力可能低於約Lund, (1997), C/zew. //wmw«o/· 65:1 11-128 ; Wright and Morrison, (1997), 7767^C// 15:26-32). Oligosaccharides in the side chains of immunoglobulins affect the function of proteins (Boyd et al. (1996), Mo/. //wmwwo/. 32:1311-1318; Wittwe and Howard, (1990), 29:4175-4180), The intramolecular interaction between glycoprotein fractions can affect the conformation and presentation of glycoproteins on three-dimensional surfaces (Hefferis and Lund, supra; Wyss and Wagner, (1996), Cwrreni B/oiec/z. 7:409 -416). Oligosaccharides can also direct known glycoproteins to certain molecules based on a particular discriminating structure. Glycosylation of antibodies has also been published 38 201125583 Effects antibody-dependent cytotoxicity (ADCC). Specifically, β(1,4)-indolyl-glucosamine glucosyltransferase (GnTIII) having a tetracycline-regulated expression has been published (two-part GlcNAc sugar) CHO cells catalyzed by basal transferase have improved ADCC activity (Umana et al. (1999), S/oiec/7. 17: 176-180). Saccharification of antibodies is usually either N-linked or 〇-linked. The N-linker represents a saccharide moiety attached to the side chain of the aspartic acid residue. Three peptide sequence: aspartic acid-X-serine, aspartic acid _ χ _ sulphonic acid and aspartic acid - X-cysteine, in which X-amino acid except Proline acid; a recognition sequence for attaching a sugar moiety enzyme to a side chain of aspartic acid. Thus, the presence of any of these three peptide sequences in the polypeptide results in a potential saccharification position. 〇-linked saccharification represents the attachment of one of the sugar Ν 醯 醯 醯 galactose, galactose or xylose to a hydroxyl amino acid, most of which is usually seric acid or threonine (but can also be applied 5 - Lysine or 5-hydroxyl-amino acid). Attachment of the saccharification site to the antibody' can be conveniently accomplished by altering the amino acid sequence such that it comprises one or more of the above-described three-sequence sequences (for the Ν-linked saccharification site). Alterations can also be achieved by the addition of one or more serine or threonine residues to the original antibody sequence or by substitution with one or more serine or threonine residues (for 〇-linked glycation sites) . It is also possible to alter the glycosylation pattern of the antibody without altering the underlying nucleotide sequence. The bile is largely dependent on the host cell used to express the antibody. Since the cell used to express recombinant glycoproteins (e.g., 'antibodies) as a possible therapeutic method is rarely a natural cell, a change in the glycosylation pattern of the antibody can be expected (see, for example, Hse et al. (1997), */ · 仏C/iem. 272:9062-9070). The cola sees the effector function to modify the Fc region of an antibody described herein, for example, to increase antigen-dependent cell-mediated cytotoxicity (ADCC) and/or complement dependent cytotoxicity (CDC) of the antibody. This can be achieved by introducing one or more amino acid substitutions in the Fc region. Amino acids which are conventionally substituted in the art. The antibody of the present invention includes antibody fragments (such as Fab, Fab', F(ab')2, Fv, Fc, etc.), chimeric antibodies, single-stranded (ScFv), mutations thereof, fusion proteins comprising antibody portions, and Any other modified structure of an immunoglobulin molecule that includes the location of the antigen discrimination required for specificity. The antibody can be murine, rat, camel, human or any other source (including anthropomorphic antibodies). The binding affinity of polypeptides (including antibodies) to EpCAM may be less than about

500 nM、約 400 nM、約 300 nM、約 200 nM、約 1〇〇 nM、 約 50 nM、約 10 nM、約 1 nM、約 500 pM、約 1〇〇 pM 或約50 pM任一者。如同技術中所習知’結合親合力可 表現成kd或解離常數’而結合親合力提高對應於的 降低。確定抗體對EpC AM之結合親合力的一種方法係藉 由測量抗體單官能基Fab片段的結合親合力。為了得到 單官能基Fab片段,可用木瓜酶切割抗體(例如,匕⑺或 重組式表現。可藉由表面電漿子共振(B1Ac〇re3〇〇〇TM表面 電漿子共振(SPR)系統,BIAc〇re,INC,piscaway nj)與 40 201125583 ELISA確定抗體之Fab片段的親合力。取得動力結合率 (k〇n)與分離率(k°ff)(通常在25°C下測量);並以koff/kon 計算平衡解離常數(Kd)值。 技術中習知且本文揭露製造抗體與衍生自抗體之聚胜 狀的方法。可測試產生之抗體是否專一性結合癌症細胞 表現之人類EpCAM之胺基酸24-63中之表位。500 nM, about 400 nM, about 300 nM, about 200 nM, about 1 〇〇 nM, about 50 nM, about 10 nM, about 1 nM, about 500 pM, about 1 〇〇 pM or about 50 pM. As is well known in the art, 'binding affinity can be expressed as kd or dissociation constant' and binding affinity increases corresponding to a decrease. One method for determining the binding affinity of an antibody to EpC AM is by measuring the binding affinity of an antibody monofunctional Fab fragment. In order to obtain a monofunctional Fab fragment, the papain can be used to cleave the antibody (for example, ruthenium (7) or recombination. It can be represented by surface plasmon resonance (B1Ac〇re3〇〇〇TM surface plasmon resonance (SPR) system, BIAc). 〇re, INC, piscaway nj) and 40 201125583 ELISA to determine the affinity of the Fab fragment of the antibody. Obtain the kinetic binding rate (k〇n) and the separation rate (k°ff) (usually measured at 25 ° C); Koff/kon calculates the equilibrium dissociation constant (Kd) value. It is known in the art and discloses a method for producing an antibody and a polymorph derived from the antibody. It is possible to test whether the produced antibody specifically binds to the amino group of human EpCAM expressed by the cancer cell. The epitope in acid 24-63.

可藉由免疫沉澱或藉由試管内結合試驗(諸如,放射免 疫試驗(RIA)或酵素連結免疫吸附試驗(EUSA))來確定 產生之抗體的結合專一性。技術中習知上述之技術與試 驗。例如’可藉由 Munson 與 Pollard (1980),/4«“/· 107:220的Scatchard分析確定單株抗體的結合 親合力。 辨別之抗體可進一步利用技術習知與本文所述之方法 試驗其引發細胞死亡(例如,細胞凋亡)與/或抑制細胞生 長或增殖的能力。 本發明亦提供試管内篩選專一性結合人類EpCAM並 引發人類癌症細胞之細胞凋亡之抗體的方法,包括:^) 試管内以專一性結合人類EpCAM之單獨單株抗體的有 效濃度培養癌症細胞;(b)測量單獨單株抗體引發癌症細 胞之細胞凋亡;及(c)若相較於對照抗體而言,該抗體具 有較高的細胞凋亡-引發活性,選擇該抗體。可應用本文 所述或技術中習知的任何方法來測量抗體引發細胞〉周亡 之活性。某些實施例中,選擇細胞凋亡_引發活性至少為 選自 12則、^〇、1(^〇、21)11、61)11與4〇2所構成: 41 201125583 群組的抗體80%、90%、95%的抗體。某些實施例中,人 類癌症細胞係乳癌細胞、大腸直腸癌細胞、胃癌細胞、 肺癌細胞、前列腺癌細胞、胰臟癌細胞、咽喉癌細胞與 卵巢癌細胞。篩選具有細胞凋亡-引發活性之抗_EpC am 抗體的方法係詳細描述於實例3。 亦可藉由重組DNA方法產生本發明之抗體,諸如美國 專利號4,816,567與6,331,415所述之那些方法,其以參 考資料併入。例如’可利用傳統步驟(例如’利用能夠專 一性結合編碼鼠科抗體之重鍵與輕鏈之基因的寡核菁酸 探針)輕易地單離與定序編碼本發明之單株抗體的 DNA。本發明之融合瘤細胞作為上述〇νΑ的較佳來源。 一但單離後,可將DNA置入表現載體中,接著將表現載 體轉染入不另外產生免疫球蛋白蛋白之宿主細胞(諸 如,私猴COS細胞、中國倉鼠卵巢(CHO)細胞或骨髓癌 細胞),以在重組宿主細胞中合成單株抗體。DnA亦可經 修飾,例如藉由以人類重鏈與輕鏈恆定區域的編碼序列 取代替換同源鼠科序列(美國專利號4,816,567)或藉由共 價連接所有或部分的非_免疫球蛋白聚胜肽序列至免疫 球蛋白編碼序列。上述非_免疫球蛋白聚胜肽可取代本發 明之抗體的恆定區域或可取代本發明抗體的一抗原-結 合位置之變異區域以產生嵌合二價抗體。 某二實施例中,本發明之抗體係由兩個表現載體所表 現。某些實施例中,編碼抗體(例如,擬人化抗體)之重 鏈的第一表現載體包括編碼抗體重鏈之變異區的第一部 42 201125583 分與編碼抗體重鏈之怪定區的第二部分。某些實施例 中,編碼抗體之輕鏈的第二表現載體包括編碼抗體輕鍵 之變異區的第一冑分與編碼抗體輕鏈之恆定區的第二部 分。 或者,本發明之抗體(例如,擬人化抗體)係由單一表 現載體所表現。單-表現載體編碼本發明之抗體的重键 與輕鏈兩者。 鲁 通常表現載體具有衍生自與宿主細胞相容之物種的轉 錄與轉譯調控序列。此外,载體通常帶有能夠在轉形細 胞中提供表形篩選的特定基因。 習知許多不同的真核細胞重組宿主_載體表現系統並 可用於本發明中。例如在真核微生物中,釀酒酵母 (Saccharomyces cerevisiae)或普通的麵包酵母係最常應 用的’即便可取得許多其他品系(例如嗜甲醇酵母菌 (Pichia pastoris))。可自ATCC取得衍生自多細胞生物的 φ 細胞株(諸如,Sp2/0或中國倉鼠卵巢(CH0)),並亦可用 作宿主。適合真核轉形之一般載體質體係諸如pSV2neo 與 pSV2gpt (ATCC)、pSVL 與 pSVK3 (Pharmacia)、及 pBPV-l/pML2d (International Biotechnology, Inc.) ® 本發明中有用之真核宿主細胞較佳係融合瘤、骨趙 癌、質漿細胞瘤或淋巴瘤細胞。然而,可適當地應用其 他真核宿主細胞,前提是哺乳宿主細胞能夠辨別蛋白表 現的轉錄與轉譯DNA序列;藉由切割引導序列來處理引 43 201125583 例如醋 導胜肽並分泌蛋白;並提供蛋白的轉譯後修飾 因此,本發明提供藉由重組表現載體(包括本文所揭露 ^ DNA構築體)轉形且能夠表現本發明之抗體或聚胜狀 的真核宿主細胞。某些實施射,本發明轉形之宿主細 胞因此包括至少—DNA構築體,其包括本文所述之輕鍵 與重鍵DNA序列以及轉錄與轉譯調控序列,轉錄與轉譯The specificity of the antibody produced can be determined by immunoprecipitation or by in vitro binding assays such as radioimmunoassay (RIA) or enzyme linked immunosorbent assay (EUSA). The above techniques and tests are well known in the art. For example, the binding affinity of a single antibody can be determined by Scatchard analysis of Munson and Pollard (1980), /4 «"/ 107:220. The identified antibody can be further tested by techniques and methods described herein. The ability to elicit cell death (e.g., apoptosis) and/or inhibit cell growth or proliferation. The invention also provides a method of screening for antibodies that specifically bind to human EpCAM and elicit apoptosis in human cancer cells, including: Increasing cancer cells in vitro in an effective concentration that specifically binds to individual antibodies to human EpCAM; (b) measuring apoptosis of cancer cells induced by monoclonal antibodies alone; and (c) comparing control antibodies, The antibody has a high apoptosis-initiating activity, and the antibody is selected. Any method known in the art or known in the art can be used to measure the activity of the antibody-inducing cell. In some embodiments, the cell is selected. The death-initiating activity is at least selected from the group consisting of 12, 〇, 1 (^〇, 21) 11, 61) 11 and 4 〇 2: 41 201125583 Group of antibodies 80%, 90%, 95% of antibodies. Some real In the example, human cancer cell line is a breast cancer cell, a colorectal cancer cell, a gastric cancer cell, a lung cancer cell, a prostate cancer cell, a pancreatic cancer cell, a throat cancer cell, and an ovarian cancer cell. Screening for an anti-EpC having apoptosis-initiating activity The method of the am antibody is described in detail in Example 3. The antibodies of the present invention can also be produced by recombinant DNA methods, such as those described in U.S. Patent Nos. 4,816,567 and 6,331,415, which are incorporated herein by reference. Conventional procedures (eg, 'Using an oligonucleotide nuclease probe capable of specifically binding a gene encoding a heavy bond and a light chain of a murine antibody) are readily isolated and sequenced to encode a DNA of a monoclonal antibody of the present invention. The fusion tumor cells serve as a preferred source of the above 〇νΑ. Once isolated, the DNA can be placed into a expression vector, and then the expression vector can be transfected into a host cell that does not otherwise produce an immunoglobulin protein (such as a private monkey COS). Cells, Chinese hamster ovary (CHO) cells or bone marrow cancer cells) to synthesize monoclonal antibodies in recombinant host cells. DnA can also be modified, for example by The coding sequences of the heavy and light chain constant regions are substituted for the replacement homologous murine sequence (U.S. Pat. No. 4,816,567) or by covalent attachment of all or part of the non-immunoglobulin polypeptide sequence to the immunoglobulin coding sequence. The above non-immunoglobulin polypeptide can be substituted for the constant region of the antibody of the present invention or can replace the variant region of an antigen-binding position of the antibody of the present invention to produce a chimeric bivalent antibody. In a second embodiment, the present invention The anti-system is represented by two expression vectors. In certain embodiments, the first expression vector encoding the heavy chain of an antibody (eg, an anthropomorphic antibody) comprises a first portion encoding a variant region of an antibody heavy chain 42 201125583 and coding The second part of the strange region of the antibody heavy chain. In certain embodiments, a second expression vector encoding a light chain of an antibody comprises a first moiety encoding a variant region of an antibody light bond and a second portion encoding a constant region of the antibody light chain. Alternatively, an antibody (e.g., anthropomorphic antibody) of the invention is represented by a single expression vector. The single-expression vector encodes both the heavy and light chains of the antibodies of the invention. Lu The usual expression vector has transcriptional and translational regulatory sequences derived from species compatible with the host cell. In addition, vectors typically carry a specific gene capable of providing phenotypic screening in transfected cells. Many different eukaryotic cell recombinant host-vector expression systems are known and can be used in the present invention. For example, in eukaryotic microorganisms, Saccharomyces cerevisiae or common baker's yeast is the most commonly used 'even if many other lines are available (e.g., Pichia pastoris). A φ cell line derived from a multicellular organism (such as Sp2/0 or Chinese hamster ovary (CH0)) can be obtained from ATCC and can also be used as a host. A general carrier system suitable for eukaryotic transformation such as pSV2neo and pSV2gpt (ATCC), pSVL and pSVK3 (Pharmacia), and pBPV-1/pML2d (International Biotechnology, Inc.) ® are preferably used in the eukaryotic host cell useful in the present invention. It is a fusion tumor, bone cancer, plasmacytoma or lymphoma cells. However, other eukaryotic host cells can be suitably used, provided that the mammalian host cell is capable of discriminating the transcription and translation of the DNA sequence of the protein; by cleaving the leader sequence to treat the squamous squamous peptide and secreting the protein; Post-translational modifications Accordingly, the present invention provides eukaryotic host cells which are transformed by recombinant expression vectors (including the DNA constructs disclosed herein) and which are capable of exhibiting the antibodies or polymorphs of the present invention. In some embodiments, the transformed host cell of the invention thus includes at least a DNA construct comprising the light and heavy bond DNA sequences described herein, as well as transcriptional and translational regulatory sequences, transcription and translation.

調控序列相對輕鏈與重鏈'編碼職序列配置以引導抗 體或聚胜肽的表現。 可藉由技冑中習%的標準轉染步驟以許多#式轉形本 發明所用之佰主細胞。標準轉染步驟中可用的係電穿孔 技術、原生質融合與磷酸㉟沉殿技術。上述技術通常描 述於 F. T〇neguzzo 等人(1986),M〇/ 心"^^, 6.703-706,G. Chu 等人#wc/ez.c j⑽細(1987), 15.13 1 1 1325 ’ D. RiCe 等人 pr〇c w (1979),79:7862-7865 ;與 v. 0i 等人户_ _ 々Μ •SW.㈣(1983),80:825-829。 兩個表現載體的實例中,可一個接一個分別或共同地 (共同轉移或共同轉染)將兩個表現載體送入宿主細胞 中〇 本發明亦提供產生抗體或聚胜肽之方法,其包括培養 包含編碼抗體或聚胜肽之表現載體的宿主細胞,並藉由 熟悉技術人士所習知的方式自培養物中取得抗體或聚胜 肽。某些實施例中藉由傳統免疫球蛋白純化步驟單離或 44 201125583 純化抗體,諸如A蛋白-瓊脂糖凝膠(pr〇tein八_瓊脂糖凝 膠)、烴基磷灰石層析(hydr〇xylapatite chr〇mat〇graphy)、 勝體電泳、透析或親合力層析β 再者,可在基因轉殖動物中產生所欲之抗體。可根據 軚準方法取得適當的基因轉殖動物,方法包括將適當表 現載體微注入卵中、將卵轉移至假孕雌性中、並選擇表 現所欲抗體之後代。 本發明亦提供專一性辨別EPCAM的嵌合抗體。例如, 嵌合抗體的變異區與恆定區係來自不同物種。某些實施 例中,重鏈與輕鏈兩者之變異區係來自本文所述之鼠科 抗體。某些實施例中,變異區包括序列編號:3、5、7、 9 11 13、15、17、19、21、23或25之變異區的胺基 酸序列。某些實施例中,重鏈與輕鏈兩者之以區係來 自人類抗體。 可藉由技術中建立相當完善的技術來製備本發明之嵌 合抗體。㈣諸如’美國專㈣6,刚,9G1、美國專利號 M52,852、美國專利號6,329,5G8、美國專利號612〇 767 與美國專利號5,677,427,各個以參考資料併人一般而 °可藉由取彳寸編碼抗體之重鍵與輕鏈變異區的CDNA、 將CDNA帛入表現載體中來製備嵌合抗冑,而表現載體 一旦被導入真核宿主細胞後可表現本發明之嵌合抗體。 表現載體較佳係帶有功能上完整的恒定重鏈或輕鏈序 列,以致可輕易地將任何變異重鏈或輕鏈序列插入表現 載體中。 45 201125583 本發明提供專一性辨別EpCAM的擬人化抗體。擬人化 抗體係其中CDR殘基由非-人類物種(諸如,小鼠、大鼠 或兔子)之CDR殘基取代且具有所欲專一性、親合力與 能力的人類抗體。某些實例中,人類抗體之Fv架構殘基 係由對應的非-人類殘基所取代。 擬人化單株抗體通有有四個步驟。其為:(1)確定初始 抗體輕鏈與重鏈變異區域之核普酸及預測之胺基酸序列 (2)設計擬人化抗體,即決定擬人化處理過程中應用之抗 體架構區域(3)實際的擬人化方法/技術與擬人化抗體 的轉染與表現。參閱諸如,美國專利號4,816,567、 5,807,715 ^ 5,866,692 > 6,331,415^ 5,530,101,5,693,761 ^ 5’693,762、5,585’089、6,180,370 與 6,548,64〇。例如, 恆定區可經設計以更類似人類恆定區以避免若抗體用於 人類臨床試驗與治療時的免疫反應。參閱諸如美國專 利號 5,997,867 與 5,866,692。 • 保留對抗原的高親合力與其他有利生物特性來擬人化 抗體係重要的。爲達成此目標’可藉由親本序列與利用 親本與擬人化序歹|J之二維模型的$同概念性帛人化產物 的分析處理來製備擬人化抗體。熟悉技術人士可一般地 取得並知曉三維免疫球蛋白模型。彳取得描述與展示選 擇之候選免疫球蛋白序列的可能三維構形結構之電腦程 式。檢驗這些展示可允許分析殘基在候冑免疫球蛋白序 列功能中的可能角色,即分析殘基影響候選免疫球蛋白 結合其之抗原的能力。此方法中’可自共有與輸入序列 46 201125583 選擇與組合FR殘基以致達成所欲之抗體特性,例如對目 標抗原的親合力增加。一般而言,CDR殘基係直接且大 部分實質牵涉於影響抗原結合。擬人化抗體亦可包含樞 紐區域中的修飾以改善抗體的一或更多特性。 另一替代方式中,可藉由噬菌體呈現技術篩選並重組 地產生抗體:參閱諸如,美國專利號5,565,332、 5,580,717、5,733,743 與 6,265,150;與 Winter 等人 /wwwwo/. 12:433-455 (1994)。或者,噬菌體呈現技 術(McCafferty 等人 iVaiwre 348:552-553 (1990))可用來自 未免疫供應者之免疫球蛋白變異(V)區域基因庫 (repertoire)於試管内產生人類抗體與抗體片段。根據此 技術’將抗體V區域基因同一讀框(in-frame)地選殖入絲 狀噬菌體之主要或次要塗層蛋白基因任一者(諸如,M13 或fd) ’並在噬菌體微粒表面上呈現功能性抗體片段。由 於絲狀微粒包含噬菌體基因體的單股DNA複本,根據抗 體之功能特性的筛選亦造成筛選編碼呈現這些特性之抗 體的基因。因此,噬菌體模擬B細胞的某些特性。可以 不同形式執行噬菌體呈現;參閱例如j〇hnson,Kevin S. 與 Chiswell,David J.,Cwrrewi /« iSirwciwra/ 3, 564-571 (1993)。許多V-基因片段的來源可用 於嗟菌體呈現。Clackson 等人 iVaiMre 352:624-628 (1991) 從衍生自免疫小鼠脾臟的V基因小型隨機組合庫單離大 量不同的抗-口咢唑嘴酮(oxaz〇l〇ne)抗體。依照Mark等 人 /· Mo/,222:581-597 (1991)或 Griffith 等人 47 201125583 丄12:725-734 (1993)所述之技術可建構來自未免疫人類 捐贈者之V基因庫並實質上單離針對不同抗原(包括自 體-抗原)之抗體。自然免疫反應中,抗體基因以高速率 累積突變(體細胞超突變)。某些導入之改變可給予較高 的親合力,且在隨後的抗原挑戰過程中可優先地複製與 分化呈現高親合力表面免疫球蛋白之B細胞。可應用習 知的「鏈改組(chain shuffling)」技術來模擬此自然過程。 Marks 等人 10:779-783 (1992))。此方法中, 由噬菌體呈現取得之「初級」人類抗體的親合力可加以 改善’藉由連續以未免疫捐贈者之V區域基因的自然存 在變體(庫)的庫取代重鏈與輕鏈v區基因。此技術可產 生親合力在pM-nM範圍中的抗體與抗體片段。The regulatory sequences are configured relative to the light and heavy chain 'encoding sequences' to direct the expression of the antibody or polypeptide. The sputum primary cells used in the present invention can be transformed in a number of ways by the standard transfection step of the technique. Electroporation techniques, protoplast fusion and phosphoric acid 35 sinking techniques available in standard transfection steps. The above techniques are generally described in F. T〇neguzzo et al. (1986), M〇/心"^^, 6.703-706, G. Chu et al. #wc/ez.c j(10) fine (1987), 15.13 1 1 1325 'D. RiCe et al. pr〇cw (1979), 79:7862-7865; and v. 0i et al. _ _ 々Μ • SW. (4) (1983), 80: 825-829. In an example of two expression vectors, two expression vectors can be delivered to a host cell separately or collectively (co-transfer or co-transfection). The invention also provides methods of producing antibodies or polypeptides, including Host cells comprising a expression vector encoding an antibody or a polypeptide are cultured and the antibody or polypeptide is obtained from the culture by methods well known to those skilled in the art. In some embodiments, the antibody is purified by conventional immunoglobulin purification steps or 44 201125583, such as Protein A-Sepharose (pr〇tein octo-ose agarose gel), hydrocarbyl apatite chromatography (hydr Xylapatite chr〇mat〇graphy), osmotic electrophoresis, dialysis or affinity chromatography β. Further, the desired antibody can be produced in the gene transfer animal. Appropriate gene transfer animals can be obtained according to standard methods, including microinjection of the appropriate expression vector into the egg, transfer of the egg to the pseudopregnant female, and selection of the desired antibody progeny. The present invention also provides chimeric antibodies that specifically discriminate EPCAM. For example, the variant and constant regions of a chimeric antibody are from different species. In certain embodiments, the variable regions of both the heavy and light chains are derived from the murine antibodies described herein. In certain embodiments, the variant region comprises the amino acid sequence of the variant region of SEQ ID NO: 3, 5, 7, 9 11 13, 15, 17, 19, 21, 23 or 25. In certain embodiments, both the heavy and light chains are derived from human antibodies. The chimeric antibodies of the invention can be prepared by establishing well-established techniques in the art. (d) such as 'US special (4) 6, just, 9G1, US Patent No. M52, 852, US Patent No. 6,329, 5G8, US Patent No. 612〇767 and US Patent No. 5,677,427, each of which can be taken by reference The chimeric anti-sputum is prepared by inserting the CDNA of the heavy bond and the light chain variant region of the antibody into the expression vector, and the expression vector can express the chimeric antibody of the present invention once introduced into the eukaryotic host cell. Preferably, the expression vector carries a functionally complete constant heavy or light chain sequence such that any variant heavy or light chain sequence can be readily inserted into the expression vector. 45 201125583 The present invention provides anthropomorphic antibodies that specifically recognize EpCAM. Anthropo-antibody A human antibody in which the CDR residues are substituted by CDR residues of a non-human species such as a mouse, rat or rabbit and have the desired specificity, affinity and ability. In certain instances, the Fv architecture residues of a human antibody are replaced by corresponding non-human residues. There are four steps in anthropomorphic monoclonal antibodies. It is: (1) determining the nucleotide and predicted amino acid sequences of the initial antibody light and heavy chain variant regions (2) designing anthropomorphic antibodies, ie determining the antibody architecture region used in the anthropomorphic treatment process (3) Actual anthropomorphic methods/techniques and transfection and expression of anthropomorphic antibodies. See, for example, U.S. Patent Nos. 4,816,567, 5,807,715, 5,866,692 > 6,331,415, 5,530,101, 5,693,761 ^ 5'693,762, 5,585'089, 6,180,370 and 6,548,64. For example, the constant region can be designed to more closely resemble a human constant region to avoid an immune response if the antibody is used in human clinical trials and treatment. See, for example, U.S. Patent Nos. 5,997,867 and 5,866,692. • It is important to retain high affinity for antigens and other beneficial biological properties to anthropomorphic systems. To achieve this goal, anthropomorphic antibodies can be prepared by analysis of the parental sequence and the use of a two-dimensional model of the parental and anthropomorphic 歹|J. A three-dimensional immunoglobulin model can be generally obtained and known to those skilled in the art. A computer program for describing and suggesting possible three-dimensional conformational structures of candidate immunoglobulin sequences. Examination of these displays allows for the analysis of the possible role of the residue in the function of the candidate immunoglobulin sequence, i.e., the ability of the residue to influence the antigen of the candidate immunoglobulin to bind thereto. In this method, the FR residues can be selected and combined with the input sequence 46 201125583 to achieve desired antibody characteristics, such as increased affinity for the target antigen. In general, CDR residues are directly and largely involved in affecting antigen binding. Anthropomorphic antibodies may also include modifications in the pivot region to improve one or more properties of the antibody. In another alternative, antibodies can be screened and recombinantly produced by phage display technology: see, for example, U.S. Patent Nos. 5,565,332, 5,580,717, 5,733,743 and 6,265,150; and Winter et al./wwwwo/. 12:433-455 (1994) ). Alternatively, phage display technology (McCafferty et al. iVaiwre 348:552-553 (1990)) can produce human antibodies and antibody fragments in vitro using immunoglobulin variant (V) region repertoires from unimmunized donors. According to this technique, the antibody V region gene is in-frame-incorporated into any of the major or minor coat protein genes of the filamentous phage (such as M13 or fd) and is on the surface of the phage particle. Presenting functional antibody fragments. Since the filamentous microparticles contain a single-stranded DNA replica of the phage genome, screening based on the functional properties of the antibody also results in the screening of genes encoding antibodies exhibiting these properties. Thus, phage mimics certain properties of B cells. Phage display can be performed in different forms; see, for example, j〇hnson, Kevin S. and Chiswell, David J., Cwrrewi / «iSirwciwra/ 3, 564-571 (1993). The source of many V-gene fragments can be used for the presentation of bacillus. Clackson et al. iVaiMre 352:624-628 (1991) isolated a large number of different anti-oral oxaz〇l〇ne antibodies from a small random combination of V genes derived from the spleens of immunized mice. According to the technique described by Mark et al./Mo-, 222:581-597 (1991) or Griffith et al. 47 201125583 丄 12:725-734 (1993), the V gene pool from non-immune human donors can be constructed and substantially Monoclonal antibodies directed against different antigens, including autoantigens. In the natural immune response, antibody genes accumulate mutations at high rates (somatic hypermutation). Certain introduced changes can confer higher affinity and preferentially replicate and differentiate B cells that exhibit high affinity surface immunoglobulin during subsequent antigen challenge. The natural "chain shuffling" technique can be applied to simulate this natural process. Marks et al. 10:779-783 (1992)). In this method, the affinity of the "primary" human antibody obtained by phage display can be improved by replacing the heavy and light chains by a library of naturally occurring variants (libraries) of the V region genes of the unimmunized donor. District gene. This technique produces antibodies and antibody fragments with affinity in the pM-nM range.

Waterhouse 等人胸c/. 及以 21:2265-2266 (1993)已 經描述產生非常大的噬菌體抗體庫(亦稱為「所有庫之 母」)之策略。基因改組亦可用來自嚅齒類抗體取得人類 抗體’其中人類抗體與起始嚅齒類抗體具有相似的親合 力與專一性。根據此方法(亦稱為「表位壓印」),以人 類V區域基因庫取代噬菌體呈現技術取得之嚅齒類抗體 的重鏈或輕鏈V區域基因以產生嚅齒類-人類嵌合體。抗 原上的選擇造成單離能夠恢復功能性抗原-結合位置的 Λ類變異’即表位控制(壓印)夥伴的選擇。在重複處 理以取代剩餘的嚅齒類ν區域時,可得到人類抗體(參閱 PCT Α開案W〇 93/06213,1993年4月1日出版)。不像 藉由CDR嫁接’齒類抗體的傳統人類化,此技術提供完 48 201125583 全的人類抗體,其不具有嚅齒類源的架構或CDR殘基。 顯而易見雖然上述係關於擬人化抗體,但所討論之—般 原則適用於客制化抗體應用,例如狗、貓、靈長類、馬 與牛。 某些實施例中,抗體係完全人類抗體。專一性結合抗 原之非-人類抗體可用來產生結合抗原之完全人類抗 體。例如,熟悉技術人士可應用鏈交換技術,其中非_人 類抗體的重鏈與表現不同人類輕鏈之表現庫共同表現。 接著針對抗原結合篩選得到之雜合抗體(包含一人類輕 鍵與非人類重鍵)。接著將參與抗原結合之輕鍵與人 類抗體重鏈庫共同表現。再一次針對抗原結合篩選得到 之人類抗體。例如此一方法的技術係描述於美國專利號 5’565’332。此外,抗原可用來接種基因轉殖人類免疫球 蛋白基因之動物。參閱例如美國專利號5,661,〇16。 抗體可為雙專一性抗體(一種對至少兩個不同抗原(包 括表位)具有結合專一性的單株抗體)。本發明提供之雙 專桂抗體包括專一性辨別人類EpCAM .之第一結合區 域以及專一性辨別不同抗原之第二結合區域。某些實施 例中,雙專一性抗體中之第二結合區域專一性辨別cD3 (例如,人類CD3)。某些實施例中,雙專一性抗體包括 重鏈變異區與/或輕鏈變異區,重鏈變異區包括一個、兩 個或三個衍生自任一本文所述抗-EpCAM抗體(諸如, 8 lGl〇、1F10、2D11、6D11、4D2)之重鏈的 CDR, 輕鏈變異區包括一個、兩個或三個衍生自任—本文所述 49 201125583 抗-EpCAM 抗體(諸如,i2H8、1G10、1F10、2D1 1、6D1 1、 4D2)之輕鏈的CDR。Waterhouse et al., chest c/. and 21:2265-2266 (1993) have described strategies for generating very large phage antibody libraries (also known as "mother of all libraries"). Gene shuffling can also be used to obtain human antibodies from caries antibodies. Human antibodies have similar affinities and specificities to the initial caries antibodies. According to this method (also referred to as "epitope imprinting"), the heavy-chain or light-chain V region gene of the carioid antibody obtained by the phage display technology is replaced with the human V region gene library to produce a carious-human chimera. The choice on the antigen results in the selection of an epitope-controlled (imprinted) partner that is capable of restoring functional antigen-binding positions. Human antibodies are obtained by repeated treatment to replace the remaining caries-like ν region (see PCT Α 案 〇 〇 / / / / / / / / 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 Unlike the traditional humanization of dentate antibodies by CDR grafting, this technology provides a full range of human antibodies that do not have a framework or CDR residue of the caries source. It is obvious that although the above is about anthropomorphic antibodies, the general principles discussed apply to custom antibody applications such as dogs, cats, primates, horses and cattle. In certain embodiments, the anti-system is a fully human antibody. A non-human antibody that specifically binds to an antigen can be used to produce a fully human antibody that binds to an antigen. For example, a person skilled in the art can apply a strand exchange technique in which the heavy chain of a non-human antibody is expressed in conjunction with a library of expressions representing different human light chains. The hybrid antibody (containing a human light bond and a non-human heavy bond) is then screened for antigen binding. The light bonds involved in antigen binding are then presented together with the human antibody heavy chain library. The human antibody was screened again for antigen binding. For example, the technique of this method is described in U.S. Patent No. 5'565'332. In addition, the antigen can be used to inoculate an animal whose gene is transferred to the human immunoglobulin gene. See, for example, U.S. Patent No. 5,661, 〇16. The antibody may be a bispecific antibody (a monoclonal antibody having binding specificity for at least two different antigens (including epitopes)). The dual-species antibody provided by the present invention includes a first binding region that specifically recognizes EpCAM, and a second binding region that specifically discriminates different antigens. In certain embodiments, the second binding region of the bispecific antibody specifically discriminates cD3 (e.g., human CD3). In certain embodiments, the bispecific antibody comprises a heavy chain variant region and/or a light chain variant region, and the heavy chain variant region comprises one, two or three derived from any of the anti-EpCAM antibodies described herein (eg, 8 lGl) The CDRs of the heavy chain of 〇, 1F10, 2D11, 6D11, 4D2), the light chain variant region comprises one, two or three derived from any of the 49 201125583 anti-EpCAM antibodies described herein (eg, i2H8, 1G10, 1F10, 2D1) 1, CDR of the light chain of 6D1 1, 4D2).

可利用技術中習知方法製造結合EpCAM與CD3兩者 之雙專一性抗體。例如,臨床試驗中現正試驗兩個具有 EpCAM與CD3組合之雙專一性抗體。卡妥索單抗 (Catumaxomab)係臨床發展中設計具有三功能之雙專一 性抗體,以用來治療具有惡性腹水之患者(Fresenius Biotech & Trion, Clin Cancer Res 2007 ; 13(13) : 3899 > British Journal of Cancer 2007 ; 97 : 3 15 - 321,Journal of Experimental & Clinical Cancer Research 2009 .* 28 .* 18, J Clin Oncol 2009 ; 27 : 15s (suppl ; abstr 3036)) ° MT110 係另一種類的雙專一性T-細胞接合(BiTE)抗體,其利用 單鏈Fv(scFv)構築體。MT110目前於第1階段試驗於肺 癌腸胃癌患者(Micromet Inc., Bethesda, Cancer Res 2009; 69(12): 4941-4,Molecular Immunology 2006 ; 43 : 1 129-1 143 · Cancer Res 2008; 68(1): 143-51> Cancer Res 2009 ; 69(12) : 4941-4,Immunobiology 2009 ; 214 : 441-453)° 技術中習知產生雙專一性抗體的方法(參閱例如 Suresh 等人(1986), Mei/zoA ί«五《zymo/ogy 121:210)。傳 統上,雙專一性抗體的重組產生係根據兩個免疫球蛋白 重鏈-輕鏈對的共同表現,而該兩個重鏈具有不同的專一 性(Millstein 與 Cuello,(1983),iVaiwre 305, 537-539) » 某 50 201125583 些實施例中,雙專-性抗體專一性結合EpCAM與⑽ 兩者。 根據-種產生雙專—性抗體的方法,將具有所欲結合 專一性(抗體-抗原結合位置)之抗體變異區域融至免疫球 蛋白恆定區域序列。融合較佳係與免疫球蛋白重鏈恆定 區域(包括至少部分的樞紐、CH2與㈤區)。較佳係讓 包含輕鏈結合所需位置之第一重鏈恆定區(chi)位於至 少一融合中。將編碼免疫球蛋白重鏈融合與(若想要的話) 免疫球蛋白輕鍵之DNA插入不同的表現載體’並共同轉 染入適當的宿主生⑯。在用於構築之三聚胜肽鏈的不均 等比例可提供最佳產率實施例中,此方法提供調整三聚 胜肽片段之相互比例良好的彈性。然而,當至少兩個相 同比例之聚胜肽鏈的表現造成高產率或當比例不具特定 意義時’有可能將二或所有三個聚胜肽鍵的編碼序列插 入一表現載體。 Φ 方法中,雙專一性抗體係由一臂中具有第一結合專 一性之雜合免疫球蛋白重鏈、與另一臂中之雜合免疫球 蛋白重鏈-輕鏈對(提供第二結合專一性)所構成。這個免 疫球蛋白輕鏈僅在雙專一性分子一半之不對稱結構促進 所欲之雙專一性化合物與不欲之免疫球蛋白鏈組合的分 離。此方法係描述於PCT公開案W0 94/04690,1994年 3月3日出版。 包含兩個共價連接之抗體的雜接合(HeteroconjUgate) 抗體亦位於本發明之範圍中。上述抗體已經用於將免疫 51 201125583 系統細胞指向不欲之細胞(美國專利號4,676,980)、並用 於治療HIV感染(PCT公開案 WO 91/00360與 WO 92/2003 73 ;及EP 03 0 89)。可利用任何方便的交聯方法 產生雜接合抗體。技術中習知適當的交聯劑與技術且描 述於美國專利號4,676,980。 亦可產生單鏈Fv片段,例如描述於Iliades等人1997, 409:437-441。利用不同連接子耦合上述單 鏈片段係描述於Kortt等人1997,尸roiez•«五 10:423-43 3。技術中習知許多重組產生與運用抗體的技 術。 本發明提供單鏈雙專一性抗體,例如單鏈雙專一性抗 體包括(a)第一抗原結合區域,專一性結合人類EpC AM 以及(b)第二抗原結合區域,專一性結合人類CD3抗原。 第一抗原結合區域專一性結合人類EpCAM,例如其專一 性結合人類EpCAM之胺基酸24-63中之表位。某些實施 例中,第一抗原結合區域包括重鏈變異區(VHEpCAM)與/ 或輕鏈變異區(VLEpCAM)。第二抗原結合區域專一性結 合人類CD3抗原。某些實施例中,第二抗原結合區域包 括重鏈變異區(VHCD3)與/或輕鏈變異區(VLCD3)。變異區 由N-端至C-端之排列順序可讓本文提供之雙專一性抗 體專一性結合人類EpCAM並專一性結合人類CD3抗 原,例如變異區由 N-端至 C-端之排列順序諸如 VLEpCAM_VHEpCAM-VHCD3-VLCD3 或Bispecific antibodies that bind both EpCAM and CD3 can be made using methods known in the art. For example, two bispecific antibodies with a combination of EpCAM and CD3 are currently being tested in clinical trials. Catumomamab is a bispecific antibody designed for the treatment of patients with malignant ascites in clinical development (Fresenius Biotech & Trion, Clin Cancer Res 2007; 13(13): 3899 &gt British Journal of Cancer 2007 ; 97 : 3 15 - 321, Journal of Experimental & Clinical Cancer Research 2009 .* 28 .* 18, J Clin Oncol 2009 ; 27 : 15s (suppl ; abstr 3036)) ° MT110 is another A bispecific T-cell junction (BiTE) antibody of the type that utilizes a single-chain Fv (scFv) construct. MT110 is currently being tested in stage 1 lung cancer patients with gastric cancer (Micromet Inc., Bethesda, Cancer Res 2009; 69(12): 4941-4, Molecular Immunology 2006; 43: 1 129-1 143 · Cancer Res 2008; 68 ( 1): 143-51> Cancer Res 2009; 69(12): 4941-4, Immunobiology 2009; 214: 441-453) ° Methods for generating bispecific antibodies in the art (see, for example, Suresh et al. (1986) , Mei/zoA ί «five "zymo/ogy 121:210). Traditionally, recombinant production of bispecific antibodies has been based on the common expression of two immunoglobulin heavy chain-light chain pairs, which have different specificities (Millstein and Cuello, (1983), iVaiwre 305, 537-539) » A 50 201125583 In some embodiments, the dual-specific antibody specifically binds both EpCAM and (10). According to the method for producing a bispecific antibody, the antibody variant region having the desired specificity (antibody-antigen binding site) is fused to the immunoglobulin constant region sequence. The fusion is preferably a constant region of the immunoglobulin heavy chain (including at least a portion of the hub, CH2 and (5) regions). Preferably, the first heavy chain constant region (chi) comprising the desired position for light chain binding is in at least one fusion. The DNA encoding the immunoglobulin heavy chain fusion and, if desired, the immunoglobulin light linkage is inserted into a different expression vector' and co-transfected into the appropriate host organism. The unequal ratio of the trimeric peptide chains used in the construction provides an optimum yield. In this embodiment, the method provides for adjusting the reciprocal ratio of the trimeric peptide fragments to each other. However, when the performance of at least two identical ratios of the peptide peptide results in high yield or when the ratio is not of a specific significance, it is possible to insert a coding sequence of two or all three polypeptide bonds into a expression vector. In the Φ method, the bispecific resistance system consists of a heterozygous immunoglobulin heavy chain with a first binding specificity in one arm and a hybrid immunoglobulin heavy chain-light chain pair in the other arm (providing a second binding) Specificity). This immunoglobulin light chain promotes the separation of the desired bispecific compound from the unwanted immunoglobulin chain only in the asymmetric structure of half of the bispecific molecule. This method is described in PCT Publication WO 94/04690, published March 3, 1994. HeteroconjUgate antibodies comprising two covalently linked antibodies are also within the scope of the invention. The above antibodies have been used to direct the immune system 51 201125583 system cells to unwanted cells (U.S. Patent No. 4,676,980) and for the treatment of HIV infection (PCT Publications WO 91/00360 and WO 92/2003 73; and EP 03 0 89). Heteroconjugate antibodies can be produced using any convenient cross-linking method. Suitable crosslinkers and techniques are well known in the art and are described in U.S. Patent No. 4,676,980. Single-chain Fv fragments can also be produced, as described, for example, in Iliades et al. 1997, 409:437-441. The coupling of the above single-stranded fragments using different linkers is described in Kortt et al. 1997, corpse roiez•«五 10:423-43 3. Many techniques for recombinant production and use of antibodies are well known in the art. The present invention provides single-chain, bispecific antibodies, e.g., single-chain, bispecific antibodies comprising (a) a first antigen-binding region, a specific binding to human EpC AM, and (b) a second antigen-binding region, specifically binding to a human CD3 antigen. The first antigen binding region specifically binds to human EpCAM, e.g., it specifically binds to an epitope in amino acid 24-63 of human EpCAM. In certain embodiments, the first antigen binding region comprises a heavy chain variant region (VHEpCAM) and/or a light chain variant region (VLEpCAM). The second antigen binding region specifically binds to the human CD3 antigen. In certain embodiments, the second antigen binding region comprises a heavy chain variant region (VHCD3) and/or a light chain variant region (VLCD3). The arrangement of the variant regions from the N-terminus to the C-terminus allows the bispecific antibodies provided herein to specifically bind to human EpCAM and specifically bind to human CD3 antigens, for example, the N-terminal to C-terminal arrangement of the variant regions, such as VLEpCAM_VHEpCAM-VHCD3-VLCD3 or

VlCD3-VhCD3-VhEPCAM-VlEpCAM。某些實施例中,本 52 201125583 發明提供之單鏈雙專一性抗體包括(a)第一抗原結合區 域,專一性結合人類EpCAM之胺基酸24-63中之表位, 其中第一抗原結合區域包括重鏈變異區(VHEpCAM)與輕 鏈變異區(VLEpCAM);及(b)第二抗原結合區域,專一性 結合人類CD3抗原,其中第二抗原結合區域包括重鏈變 異區(VHCD3)與輕鏈變異區(VLCD3);其中變異區由N-端至 C- 端之排 列 順 序 為 VLEpCAM-VHEpCAM-VHCD3-VLCD3。「VLEpCAM」與 「VHEpCAM」分別意指專一性結合EpCAM之抗-EpCAM 抗體或抗原結合區域之變異區的輕鏈與重鏈。「VlCD3」 與「VhCD3」分別意指專一性結合CD3之抗-CD3抗體或 抗原結合區域之變異區的輕鏈與重鏈。 某些實施例中,第一抗原結合區域包括VHEpCAM與 VLEpCAM。某些實施例中,第一抗原結合區域包括: VHEpCAM,包括一個、兩個或三個序列編號:3之CDRs 與/或VLEpCAM,包括一個、兩個或三個序列編號:5 之CDR。某些實施例中,第一抗原結合區域包括: VHEpCAM,包括一個、兩個或三個序列編號:7之CDR ; 與/或VLEpCAM,包括一個、兩個或三個序列編號:9 之CDR。某些實施例中,第一抗原結合區域包括: VHEpC AM,包括一個、兩個或三個序列編號:11之CDR ; 與/或VLEpCAM,包括一個、兩個或三個序列編號:13 之CDR。某些實施例中,第一抗原結合區域包括: VHEpC AM,包括一個、兩個或三個序列編號:1 5之CDR ; 53 201125583 與/或VLEpCAM,包括一個、兩個或三個序列編號:17 之CDR。某些實施例中,第一抗原結合區域包括: VHEpC AM,包括一個、兩個或三個序歹ij編號·· 1 9之CDR ; 與/或VlEpCAM,包括一個、兩個或三個序列編號:21 之CDR。某些實施例中,第一抗原結合區域包括: VHEpCAM,包括一個、兩個或三個序列編號:23之CDR; 與/或VlEpCAM,包括一個、兩個或三個序列編號:25 之 CDR。 某些實施例中,VHEpCAM與/或VLEpCAM係經擬人 化。某些實施例中,VHCD3與/或VLCD3係經擬人化。 某些實施例中,第一抗原結合區域包括VHEpCAM,包 括序列編號:27之胺基酸序列;與/或VLEpCAM,包括 序列編號:29之胺基酸序列。某些實施例中,第一抗原 結合區域包括VHEpCAM,包括序列編號:3 1之胺基酸 序列;與/或VLEpCAM,包括序列編號:33之胺基酸序 列。某些實施例中,第一抗原結合區域包括VHEpCAM, 包括序列編號:35之胺基酸序列;與/或VLEpCAM,包 括序列編號:37之胺基酸序列。 某些實施例中,單鏈雙專一性抗體更在兩個變異區之 間(例如,VLEpCAM 與 VHEpCAM 之間、VHEpCAM 與 VHCD3之間、與/或VHCD3與VLCD3之間)包括胜肽連 接子。 某些實施例中,雙專一性抗體更包括人類血清白蛋白 序列(HSA),例如雙專一性抗體更在雙專一性抗體之C- 54 201125583 端包括HSA。人類血清白蛋白序列可包括序列編號:45 或序列編號:47之胺基酸序列。某些實施例中,雙專一 性抗體更在變異區(諸如,VLEpCAM、VHEpCAM、VhCD3 或VlCD3)與人類血清白蛋白序列之間包括胜狀連接子。 本文提供之胜肽連接子(諸如,兩個變異區之間(諸 如,VLEpCAM 與 VHEpCAM 之間、VHEpCAM 與 VhCD3 之間或VhCD3與VlCD3之間)的胜肽連接子或變異區(例 如,VLCD3)與人類血清白蛋白序列之間的胜肽連接子) 可包括至少約1胺基酸、2胺基酸、3胺基酸、4胺基酸、 5胺基酸、8胺基酸、10胺基酸、12胺基酸、15胺基酸、 18胺基酸、20胺基酸、25胺基酸或30胺基酸任一者》 某些實施例中,胜肽連接子包括約1胺基酸、2胺基酸、 3胺基酸、4胺基酸、5胺基酸、8胺基酸、10胺基酸、 12胺基酸、15胺基酸、18胺基酸、20胺基酸、25胺基 酸或30胺基酸任一者。胜肽連接子可為下列任一者:序 列編號:49之胺基酸序列of;序列編號:53之胺基酸序 列;序列編號:51之胺基酸序列;S ; GS ; GGS ; GGGS (序列編號:63) ; GGGGSGGGGS (序列編號:64), GGGGSGGGGSGGGGSGGGGS (序列編號:65); GGGGSGGGGSGGGGSGGGGSGGGGS (序列編號:66); AAAGGSGG (序列編號:77) ; GGGGSGGRASGGGGS (序 列編號:78) ; GGGGSGGRASGGGGSGGGGS (序列編號: 67); STDGNT (序列編號:68) ; GGSGG (序列編號:69); SAKTTP (序列編號:70) ; SAKTTPKLGG (序列編號: 55 201125583 71); RADAAP (序列編號:72) ; RADAAPTVS (序列編號: 73) ; RADAAAAGGPGS (序列編號:74); RADAAAAGGGGSGGGGSGGGGSGGGGS (序列編號: 75);與 GGKGSGGKGTGGKGSGGKGS(序列編號:76)。 某些實施例中,VLEpCAM與VHEpCAM之間的胜肽連 接子包括序列編號:49之胺基酸序列。某些實施例中, VHCD3與VLCD3之間的胜肽連接子包括序列編號:53 之胺基酸序列。某些實施例中,VHEpCAM與VHCD3之 間的胜肽連接子包括序列編號:5 1之胺基酸序列。某些 實施例中,VLCD3與人類血清白蛋白序列之間的胜肽連 接子包括序列編號:5 1之胺基酸序列。 某些實施例中,第二抗原結合區域專一性結合CD3e、 CD3y或CD35鏈。某些實施例中,第二抗原結合區域包 括VHCD3與/或VLCD3。某些實施例中,VHCD3包括序 列編號:55之胺基酸序列。某些實施例中,VLCD3包括 序列編號:57之胺基酸序列。某些實施例中,VHCD3包 括一個、兩個或三個序列編號:55之胺基酸序列的CDR。 某些實施例中,VlCD3包括一個、兩個或三個序列編號: 57之胺基酸序列的CDR。某些實施例中,VHCD3係經擬 人化。某些實施例中,VLCD3係經擬人化。 本文所述之雙專一性抗體可包括序列編號:39、序列 編號:41或序列編號:43之胺基酸序列。 用以產生本文提供之單鏈雙專一性抗體的聚核苷酸構 築體可更包含信號胜肽序列(例如,信號胜肽係添加至本 56 201125583 文提供之雙專一性抗體之Ν·端可應用熟悉技術人士所 習知的任何信號胜肽序列。可應用實例8中所用之信號 胜肽序列。 本文提供之雙專一性抗體之某些實施例中,雙專一性 抗體包括組胺酸標記(例如,6XHis標記),例如雙專一性 抗體在抗體之C-端包括6XHis標記。本文提供之雙專一 性抗體之某些實施例中,雙專一性抗體不包括組胺酸標 記。 可以思及本發明不僅包括上述之單株抗體,且亦包括 任何含有抗體活性結合區的其之片段,諸如Fab、 F(ab’)2、scFv、FV片段等。可利用技藝中建立相當完善 的技術自本文所述之單株抗體產生上述片段(R〇usseaux 等人(1986),in Mei/zoA £«z;;wo/·,121:663_69 AcademicVlCD3-VhCD3-VhEPCAM-VlEpCAM. In certain embodiments, the single-chain, bispecific antibody provided by the present invention includes: (a) a first antigen binding region that specifically binds to an epitope in amino acid 24-63 of human EpCAM, wherein the first antigen binds The region includes a heavy chain variant region (VHEpCAM) and a light chain variant region (VLEpCAM); and (b) a second antigen binding region that specifically binds to a human CD3 antigen, wherein the second antigen binding region comprises a heavy chain variant region (VHCD3) and The light chain variation region (VLCD3); wherein the variation region from the N-terminus to the C-terminus is VLEpCAM-VHEpCAM-VHCD3-VLCD3. "VLEpCAM" and "VHEpCAM" respectively mean a light chain and a heavy chain which specifically bind to the anti-EpCAM antibody or antigen-binding region of EpCAM. "VlCD3" and "VhCD3" mean a light chain and a heavy chain which specifically bind to the anti-CD3 antibody of CD3 or the variable region of the antigen-binding region, respectively. In certain embodiments, the first antigen binding region comprises VHEpCAM and VLEpCAM. In certain embodiments, the first antigen binding region comprises: VHEpCAM comprising one, two or three CDRs of SEQ ID NO: 3 and/or VLEpCAM comprising one, two or three CDRs of SEQ ID NO: 5. In certain embodiments, the first antigen binding region comprises: VHEpCAM comprising one, two or three CDRs of SEQ ID NO: 7; and/or VLEpCAM comprising one, two or three CDRs of SEQ ID NO: 9. In certain embodiments, the first antigen binding region comprises: VHEpC AM comprising one, two or three CDRs of SEQ ID NO: 11; and/or VLEpCAM comprising one, two or three CDRs of SEQ ID NO: 13. . In certain embodiments, the first antigen binding region comprises: VHEpC AM, comprising one, two or three SEQ ID NO: 15 CDR; 53 201125583 and/or VLEpCAM, comprising one, two or three SEQ ID NO: 17 CDR. In certain embodiments, the first antigen binding region comprises: VHEpC AM, comprising one, two or three CDRs of the sequence 歹ij number···9; and/or VlEpCAM, including one, two or three sequence numbers : CDR of 21 . In certain embodiments, the first antigen binding region comprises: VHEpCAM comprising one, two or three CDRs of SEQ ID NO: 23; and/or VlEpCAM comprising one, two or three CDRs of SEQ ID NO: 25. In certain embodiments, VHEpCAM and/or VLEpCAM are anthropomorphized. In certain embodiments, VHCD3 and/or VLCD3 are anthropomorphized. In certain embodiments, the first antigen binding region comprises VHEpCAM, comprising the amino acid sequence of SEQ ID NO: 27; and/or VLEpCAM, comprising the amino acid sequence of SEQ ID NO: 29. In certain embodiments, the first antigen binding region comprises VHEpCAM, comprising the amino acid sequence of SEQ ID NO: 31; and/or VLEpCAM, comprising the amino acid sequence of SEQ ID NO: 33. In certain embodiments, the first antigen binding region comprises VHEpCAM, comprising the amino acid sequence of SEQ ID NO: 35; and/or VLEpCAM, comprising the amino acid sequence of SEQ ID NO: 37. In certain embodiments, a single-chain, bispecific antibody comprises a peptide linker between two variant regions (e.g., between VLEpCAM and VHEpCAM, between VHEpCAM and VHCD3, and/or between VHCD3 and VLCD3). In certain embodiments, the bispecific antibody further comprises a human serum albumin sequence (HSA), such as a bispecific antibody comprising a HSA at the C-54 201125583 end of the bispecific antibody. The human serum albumin sequence may comprise the amino acid sequence of SEQ ID NO: 45 or SEQ ID NO: 47. In certain embodiments, the bispecific antibody further comprises a zygote linker between the variant region (such as VLEpCAM, VHEpCAM, VhCD3 or VlCD3) and the human serum albumin sequence. A peptide linker or variant region (eg, VLCD3) provided herein between a peptide linker (such as between two variant regions (such as between VLEpCAM and VHEpCAM, between VHEpCAM and VhCD3, or between VhCD3 and VlCD3) The peptide linker to the human serum albumin sequence can include at least about 1 amino acid, 2 amino acid, 3 amino acid, 4 amino acid, 5 amino acid, 8 amino acid, 10 amine Any of a base acid, 12 amino acid, 15 amino acid, 18 amino acid, 20 amino acid, 25 amino acid or 30 amino acid. In certain embodiments, the peptide linker comprises about 1 amine. Acid, 2 amino acid, 3 amino acid, 4 amino acid, 5 amino acid, 8 amino acid, 10 amino acid, 12 amino acid, 15 amino acid, 18 amino acid, 20 amine Any of a base acid, a 25 amino acid or a 30 amino acid. The peptide linker can be any of the following: SEQ ID NO: 49 amino acid sequence of; SEQ ID NO: 53 amino acid sequence; SEQ ID NO: 51 amino acid sequence; S; GS; GGS; GGGS ( SEQ ID NO: 63); GGGGSGGGGS (SEQ ID NO: 64), GGGGSGGGGSGGGGSGGGGS (SEQ ID NO: 65); GGGGSGGGGSGGGGSGGGGSGGGGS (SEQ ID NO: 66); AAAGGSGG (SEQ ID NO: 77); GGGGSGGRASGGGGS (SEQ ID NO: 78); GGGGSGGRASGGGGSGGGGS (SEQ ID NO: : 67); STDGNT (SEQ ID NO: 68); GGSGG (SEQ ID NO: 69); SAKTTP (SEQ ID NO: 70); SAKTTPKLGG (SEQ ID NO: 55 201125583 71); RADAAP (SEQ ID NO: 72); RADAAPTVS (SEQ ID NO: : 73) ; RADAAAAGGPGS (SEQ ID NO: 74); RADAAAAGGGGSGGGGSGGGGSGGGGS (SEQ ID NO: 75); and GGKGSGGKGTGGKGSGGKGS (SEQ ID NO: 76). In certain embodiments, the peptide linker between VLEpCAM and VHEpCAM comprises the amino acid sequence of SEQ ID NO: 49. In certain embodiments, the peptide linker between VHCD3 and VLCD3 comprises the amino acid sequence of SEQ ID NO:53. In certain embodiments, the peptide linker between VHEpCAM and VHCD3 comprises the amino acid sequence of SEQ ID NO: 51. In certain embodiments, the peptide linker between VLCD3 and the human serum albumin sequence comprises the amino acid sequence of SEQ ID NO: 51. In certain embodiments, the second antigen binding region specifically binds to a CD3e, CD3y or CD35 chain. In certain embodiments, the second antigen binding region comprises VHCD3 and/or VLCD3. In certain embodiments, VHCD3 comprises the amino acid sequence of sequence number: 55. In certain embodiments, VLCD3 comprises the amino acid sequence of SEQ ID NO: 57. In certain embodiments, VHCD3 comprises one, two or three CDRs of the amino acid sequence of SEQ ID NO: 55. In certain embodiments, VlCD3 comprises one, two or three CDRs of the sequence number: 57 amino acid sequence. In certain embodiments, VHCD3 is anthropomorphized. In some embodiments, the VLCD 3 is anthropomorphized. The bispecific antibodies described herein may include the amino acid sequence of SEQ ID NO: 39, SEQ ID NO: 41 or SEQ ID NO: 43. The polynucleotide construct used to produce the single-chain, bispecific antibody provided herein may further comprise a signal peptide sequence (for example, a signal peptide is added to the bispecific antibody provided herein; Any signal peptide sequence known to those skilled in the art can be used. The signal peptide sequences used in Example 8 can be applied. In certain embodiments of the bispecific antibodies provided herein, the bispecific antibodies include histidine labeling ( For example, a 6XHis tag), such as a bispecific antibody, includes a 6XHis tag at the C-terminus of the antibody. In certain embodiments of the bispecific antibodies provided herein, the bispecific antibody does not include a histidine tag. The invention not only includes the above-mentioned monoclonal antibodies, but also includes any fragments thereof containing the active binding regions of the antibodies, such as Fab, F(ab')2, scFv, FV fragments, etc. The techniques can be used to establish quite perfect techniques from this paper. The monoclonal antibody produced the above fragment (R〇usseaux et al. (1986), in Mei/zoA £«z;; wo/·, 121:663_69 Academic

Press)。 技術中l知製備抗體片段的方法。例如,以胃蛋白酶 酵素切割抗體好產生抗體片段以提供稱為F(ab,)2的1〇〇 Kd片段。可利用硫醇還原劑與選擇性的硫醇基(來自雙 硫鍵結的切割)阻隔基進一步切割此片段以產生5〇 Kd Fab’單價片段。或者,利用木瓜酶的酵素切割直接產生 兩個單價Fab片段與Fc片段。這些方法描述於諸如美國 專利號4,036,945與4,331,647以及其含之參考文獻,專 利以參考資料併入本文中。亦參閱Nisonoff等人(i960), Arch Biochem. Biophys. 89: 230 ; Porter (1959), Biochem. J· 73: 119 > Smyth (1967), Methods in Enzymology ii; 57 201125583 421-426 〇 或者’可藉由將編碼抗體之Fab的DNA插入原核生物 表見載體或真核生物表現载體,並將载體導人原核生物 或真核生物以表現Fab來產生Fab。Press). Techniques for preparing antibody fragments are known in the art. For example, antibody fragments are cleaved with pepsin to produce an antibody fragment called F(ab,)2. This fragment can be further cleaved with a thiol reducing agent and a selective thiol group (cleavage from disulfide bonding) to generate a 5 〇 Kd Fab' monovalent fragment. Alternatively, enzymatic cleavage using papain directly produces two monovalent Fab fragments and Fc fragments. These methods are described, for example, in U.S. Patent Nos. 4,036,945 and 4,331,647, the entireties of each of each of See also Nisonoff et al. (i960), Arch Biochem. Biophys. 89: 230; Porter (1959), Biochem. J. 73: 119 > Smyth (1967), Methods in Enzymology ii; 57 201125583 421-426 〇 or ' The Fab can be produced by inserting the DNA encoding the Fab of the antibody into a prokaryotic expression vector or a eukaryotic expression vector, and directing the vector to a prokaryote or eukaryote to express the Fab.

除了伯主細胞的選擇以外,重組產生抗體過程中影響 聽化的因子包括生長模式、培養基配方、培養密度、氧 化作用pH、純化方案等。已經提出許多改變特定宿主 生物中達成之醣化型態时法,其包括導人或過度表現 牽涉於寡膽產生的某些酵素(美國專利號5,㈣,33卜 5’510,261與5,278,299)。可自醣蛋白酵素地移除酿化或 某些類型的醣化,例如應用内糖苷酶H⑴、N_糖 ㈣F、内糖㈣F卜内㈣酶”、内糖㈣ρ3。此 外’重組宿主細胞可經遺傳設計成在處理某些類型的多 醣中有缺陷。技術卡習知這些與相似的技術。 某些實施例中,可利用技術中習知的耦合技術來修飾 本發明之抗體’搞合技術包括(但不限於)酵素手段、氧 化取代與聲合。例如,可康田攸 了應用6飾來附加免疫試驗的標 記。利用技術中建立之步驟來產生修飾之聚胜肽並可利 用技術中習知的標準試驗來篩選,某些係描述於下與實 施例中。 可將本發明之抗體或聚胜肽接合(例如,連接)至試劑 (❹’治療劑)與標記。治療劑的實例係放射性部分、 細胞毒素或化學治療分子。 可將本發明之抗體(或聚胜狀)連接至標記,諸如勞光 58 201125583In addition to the selection of primary cells, factors affecting the process of recombinant production of antibodies include growth patterns, media formulations, culture densities, oxidative pH, purification protocols, and the like. A number of methods have been proposed for altering the glycosylation pattern achieved in a particular host organism, including the introduction or overexpression of certain enzymes involved in the production of oligobiliary (U.S. Patent No. 5, (d), 33, 5, 510, 261 and 5, 278, 299). The brewing or some types of saccharification can be removed from glycoproteins, such as endoglycosidase H(1), N-sugar (tetra) F, endosaccharide (tetra) Fb (tetra) enzyme, and inner sugar (iv) ρ3. In addition, 'recombinant host cells can be inherited Designed to be defective in the treatment of certain types of polysaccharides. Technical cards are known for these and similar techniques. In some embodiments, the coupling techniques employed in the art can be used to modify the antibody of the present invention. However, it is not limited to enzyme means, oxidative substitution and sonication. For example, Kang Tian 攸 应用 应用 应用 应用 应用 应用 应用 应用 应用 应用 应用 应用 应用 应用 应用 应用 应用 应用 应用 应用 应用 应用 应用 应用 。 。 。 。 。 。 。 。 。 。 。 。 Standard assays for screening, some of which are described below and in the Examples. The antibodies or polypeptides of the invention can be conjugated (eg, linked) to a reagent (❹' therapeutic agent) and a label. Examples of therapeutic agents are radioactive. Partial, cytotoxic or chemotherapeutic molecule. The antibody (or polyphonic) of the invention can be linked to a label, such as Laoguang 58 201125583

3H、14c、15N、35S、90Y、”Tc、mIn、12勺、 分子、放射性分子、酵素或任何技術中習知的其他標記。 本文所用之詞彙「標記」代表可被偵測的任何分子。某 些實施例中’可藉由併入放射性標記胺基酸來標記抗 體。某些實施例中’可將能被標記之卵白素(例如,鏈黴 印白素包含可被光學或比色法偵測之螢光標記或酵素活 性)偵測之生物素部分附著至抗體。某些實施例中,可將 才示S己併入或附著至另一試劑,而該試劑再結合關注之抗 體《例如,可將標記併入或附著至一抗體,而該抗體再 專一性結合關注之抗體。某些實施例中,標記或標誌亦 可為治療性。技術中習知並可應用許多標記聚胜肽與醣 蛋白的方法。某些一般的標記類型包括(但不限於)酵素 性、螢光、化學發光與放射性標記。聚胜肽之標記的實 例包括(但不限於)下列:放射性同位素或放射性核素(諸 如 u i、丄N、 δ > -Y , -Tc , mIn ^ nsj % η,I} 營光標記(諸如,螢光異硫氰酸鹽(FITC)、若丹明 (rhodamine)、鑭磷光體(lanthanide ph〇sph〇rs)、藻紅素 (PE))、酵素標記(諸如,辣根過氧化酶、β•半乳糖苦酶、、 冷光酶(1UCife⑽)、驗性碟酸酶、葡萄糖氧化酶、葡萄 糖-6-磷酸鹽去氫酶、醇類脫氫酶、蘋果酸去氫酶、青黴 素酶(盤尼西林ase)、冷光酶) (―㈣)、二級受體辨別 如’白胺酸拉鍊對序列、二級抗體的結合位置、金屬, 合區域、表位標記)。某些實施例中,藉由不同長度的間 隔臂附著標記以減少可能的空間阻礙。 59 201125583 本發明亦提供藥學組合物,其包括本文所述之抗體或 聚胜狀、與藥學可接受载體或賦形劑。藥學可接受賦形 劑係技術中習知的’且其係、促進藥學有效物質施加之相 對惰性物質。例如’賦形劑可給予形狀或黏稠或作為稀 釋劑。適當的賦形劑包括(但不限於)穩定劑、潤濕與乳 化劑、不同滲透壓的鹽類、封裝劑、緩衝劑與皮膚穿透 促進劑。職形劑以及腸胃外與非腸胃外藥物輸送係提出3H, 14c, 15N, 35S, 90Y, "Tc, mIn, 12 scoops, molecules, radioactive molecules, enzymes or other labels conventionally known in the art. The term "marker" as used herein refers to any molecule that can be detected. In some embodiments, the antibody can be labeled by incorporation of a radiolabeled amino acid. In certain embodiments, a biotin moiety that is detectable by a labeled avidin (e.g., streptavidin comprising a fluorescent label or enzyme activity detectable by optical or colorimetric detection) can be attached to the antibody. In certain embodiments, the reagent may be incorporated or attached to another reagent, and the reagent is recombined with the antibody of interest. For example, the label may be incorporated or attached to an antibody, and the antibody is specifically bound. Concerned about antibodies. In some embodiments, the marker or marker can also be therapeutic. A number of methods for labeling polypeptides and glycoproteins are known in the art and can be applied. Some general types of markers include, but are not limited to, enzymes, fluorescent, chemiluminescent, and radioactive labels. Examples of labels for polypeptides include, but are not limited to, the following: radioisotopes or radionuclides (such as ui, 丄N, δ > -Y, -Tc, mIn ^ nsj % η, I} camping markers (such as , fluorescent isothiocyanate (FITC), rhodamine, lanthanide ph〇sph〇rs, phycoerythrin (PE), enzyme labeling (such as horseradish peroxidase, ••galactosidase, luciferase (1UCife(10)), assay acid oxidase, glucose oxidase, glucose-6-phosphate dehydrogenase, alcohol dehydrogenase, malate dehydrogenase, penicillinase (penicillin) (ase), luminescent enzyme) (―(4)), secondary receptor discrimination such as 'leucine zipper pair sequence, secondary antibody binding position, metal, region, epitope tag). In some embodiments, the markers are attached by spacer arms of different lengths to reduce possible spatial obstructions. 59 201125583 The invention also provides pharmaceutical compositions comprising an antibody or polyacid as described herein, and a pharmaceutically acceptable carrier or excipient. Pharmaceutically acceptable excipients are well known in the art and are relatively inert materials which promote the application of a pharmaceutically effective substance. For example, the excipient can be given a shape or a viscous or as a diluent. Suitable excipients include, but are not limited to, stabilizers, wetting and emulsifiers, salts of different osmotic pressures, encapsulants, buffers, and skin penetration enhancers. Occupational agents and parenteral and parenteral drug delivery systems

於 Remington,The Science and Practice 〇f pha_cy 2她In Remington, The Science and Practice 〇f pha_cy 2 she

Ed. Mack Publishing (2000)。 某些實施例中’本發明提供用於任何本文所述之方法 的組合物(本文所述),不論係用作藥劑與/或用作製造藥 劑。 聚核苷酸、載體與宿主細胞 本發明亦提供聚核苷酸’其包括編碼任何本文所述之 抗體與聚胜肽的核苷酸序列。某些實施例中,聚胜肽包 括輕鍵與/或重鏈變異區的序列。某些實施例中,聚核苷 酸包括一或多個編碼本文所述之抗_EpCAM抗體之核酸 序列。某些實施例中,聚核苷酸包括一或多個編碼本文 所述之單鏈雙專一性抗體之核酸序列。 某些實施例中,聚核苷酸包括編碼重鏈變異區之核酸 序列與編碼輕鏈變異區之核酸序列,重鍵變異區包括一 個、兩個或三個序列編號:3之CDR而輕鏈變異區包括 一個、兩個或三個序列編號:5之CDR。某些實施例中’ 60 201125583 聚核苷酸包括編碼重鏈變異區之核酸序列與編碼輕鏈變 異區之核酸序列’重鏈變異區包括一個、兩個或三個序 列編號:7之CDR而輕鏈變異區包括一個、兩個或三個 序列編號:9之CDR。某些實施例中,聚核苷酸包括編 碼重鏈變異區之核酸序列與編碼輕鏈變異區之核酸序 列’重鏈變異區包括一個、兩個或三個序列編號:11之 CDR而輕鏈變異區包括一個' 兩個或三個序列編號:J 3 之CDR。某些實施例中’聚核苷酸包括編碼重鍵變異區 之核酸序列與編碼輕鏈變異區之核酸序列,重鏈變異區 包括一個、兩個或三個序列編號:1 5之CDR而輕鏈變異 區包括一個、兩個或三個序列編號:1 7之CDR。某些實 施例中,聚核苷酸包括編碼重鏈變異區之核酸序列與編 碼輕鏈變異區之核酸序列,重鏈變異區包括一個、兩個 或三個序列編號:19之CDR而輕鍵變異區包括一個、兩 個或三個序列編號:2 1之CDR。某些實施例中,聚核普 酸包括編碼重鏈變異區之核酸序列與編碼輕鏈變異區之 核酸序列,重鏈變異區包括一個、兩個或三個序列編號: 23之CDR而輕鏈變異區包括一個、兩個或三個序列編 號:25 之 CDR。 某些實施例中,聚核苦酸包括編碼重鏈變異區之核酸 序列與/或編碼輕鍵變異區之核酸序列,重鍵變異區包括 序列編號:3之胺基酸序列,而輕鏈變異區包括序列編 號:5之胺基酸序列。某些實施例中,聚核苷酸包括編 碼重鏈變異區之核酸序列與/或編碼輕鏈變異區之核酸 61 201125583 序列,重鏈變異區包括序列編號:7之胺基酸序列’而 輕鏈變異區包括序列編號:9之胺基酸序列。某些實施 例中,聚核苷酸包括編碼重鏈變異區之核酸序列與/或編 碼輕鏈變異區之核酸序列,重鏈變異區包括序列編號: 11之胺基酸序列,而輕鏈變異區包括序列編號:13之胺 基酸序列。某些實施例中,聚核苷酸包括編碼重鏈變異 區之核酸序列與/或編碼輕鏈變異區之核酸序列,重鏈變 異區包括序列編號:15之胺基酸序列,而輕鏈變異區包 括序列編號:17之胺基酸序列。某些實施例中,聚核苷 酸包括編碼重鏈變異區之核酸序列與/或編碼輕鏈變異 區之核酸序列,重鏈變異區包括序列編號:19之胺基酸 序列,而輕鏈變異區包括序列編號:2 1之胺基酸序列。 某些實施例中,聚核苷酸包括編碼重鏈變異區之核酸序 列與/或編碼輕鏈變異區之核酸序列,重鏈變異區包括序 列編號:23之胺基酸序列,而輕鏈變異區包括序列編號: 25之胺基酸序列。 某些實施例中,聚核苷酸包括一或多個編碼單鏈雙專 一性抗體之核酸序列,單鏈雙專一性抗體包括(a)第一抗 原結合區域,專一性結合人類EpCAM (例如,專一性結 合人類EpC AM之胺基酸24-63中之表位),其中第一抗 原結合區域包括重鏈變異區(VHEpCAM)與/或輕鏈變異 區(VLEpCAM);與/或(b)第二抗原結合區域,專一性結合 人類CD3抗原’其中第二抗原結合區域包括重鍵變異區 (VHCD3)與/或輕鏈變異區(VLCD3);其中變異區之排列順 62 201125583 序,例如由 N-端至 C-端之排列順序為 VLEpCAM-VHEpCAM-VHCD3-VLCD3。 某些實施例中,聚核苦酸包括序列編號:4之核酸序 列與/或序列編號:6之核酸序列。某些實施例中,聚核 苷酸包括序列編號:8之核酸序列與/或序列編號:10之 核酸序列。某些實施例中’聚核苷酸包括序列編號:12 之核酸序列與/或序列編號:14之核酸序列。某些實施例 中,聚核苷酸包括序列編號:16之核酸序列與/或序列編 號:1 8之核酸序列。某些實施例中’聚核苷酸包括序列 編號:20之核酸序列與/或序列編號:22之核酸序列。 某些實施例中,聚核苷酸包括序列編號:24之核酸序列 與/或序列編號:26之核酸序列。 某些實施例中,聚核苷酸包括序列編號:28之核酸序 列與/或序列編號:30之核酸序列。某些實施例中,聚核 苷酸包括序列編號:32之核酸序列與/或序列編號:34 之核酸序列。某些實施例中’聚核苷酸包括序列編號: 36之核酸序列與/或序列編號:38之核酸序列。某些實 施例中,聚核苷酸包括序列編號:56之核酸序列與/或序 列編號:5 8之核酸序列。某些實施例中,聚核苷酸包括 序列編號:40之核酸序列。某些實施例中,聚核苷酸包 括序列編號:42之核酸序列。某些實施例中,聚核苷酸 包括序列編號:44之核酸序列。 熟悉技術人士可以理解因為基因密碼的退化,有許多 核苷酸序列編碼本文所述之一聚胜肽。這些聚核苷酸的 63 201125583 其中某些與任何天生基因之核苷酸序列具有極小的同源 性。因此,本發明特別地考量密碼子應用中之差異所造 成的聚核苷酸變化。再者,包括本文提供之聚核苷酸序 列的基因之對偶基因係位於本發明之範圍十。對偶基因 係因為一或更多突變(諸如,核苷酸的删除、附加與/或 取代)而改變之内源性基因。得到之mRNA與蛋白可以(作 不是必需)具有改變之結構或功能。可利用標準技術(諸 如’雜合、擴增與/或資料庫序列比對)辨別對偶基因。 可利用化學合成、重組方法或PCR取得本發明之聚核 苷酸。技術中習知化學聚核苷酸合成的方法而不需在本 文詳細描述。熟悉技術人士可利用本文提供之序列與商 業DNA合成機來產生所欲之DNA序列。 關於利用重組方法製備聚核苷酸,可將包括所欲序列 之聚核苷酸插入適當載體、並接著將載體導入適當宿主 細胞以便複製與擴增’如本文進一步所述。可藉由任何 技術中習知的手段將聚核苷酸插入宿主細胞。藉由直接 攝入、内噬作用、轉染' F-交配或電穿孔將外源性聚核 苷酸導入來轉形細胞。一旦導入後,可在細胞中維持外 源性聚核苷酸為非-併入載體(例如,質體)或併入宿主細 胞基因體中。可藉由技術中習知方法自宿主細胞單離如 此擴增之聚核普酸。參閱例如,Sambrook等人(1989)。 或者’ PCR可產生DNA序列。PCR技術係技術中習知 的且描述於美國專利號4,683,195、4,800,159、4,754,065 64 201125583 與 4,683,202 以及 PCR: The Polymeraase Chain Reaction,Ed. Mack Publishing (2000). In certain embodiments, the invention provides compositions (described herein) for use in any of the methods described herein, whether used as a pharmaceutical agent and/or as a manufacturing agent. Polynucleotides, Vectors, and Host Cells The invention also provides polynucleotides which comprise a nucleotide sequence encoding any of the antibodies and polypeptides described herein. In certain embodiments, the polypeptide comprises a sequence of light and/or heavy chain variant regions. In certain embodiments, the polynucleotide comprises one or more nucleic acid sequences encoding an anti-EpCAM antibody described herein. In certain embodiments, a polynucleotide comprises one or more nucleic acid sequences encoding a single-chain, bispecific antibody described herein. In certain embodiments, the polynucleotide comprises a nucleic acid sequence encoding a heavy chain variant region and a nucleic acid sequence encoding a light chain variant region comprising one, two or three SEQ ID NO: 3 CDRs and a light chain The variant region includes one, two or three CDRs of sequence number: 5. In certain embodiments, the '60 201125583 polynucleotide comprises a nucleic acid sequence encoding a heavy chain variant region and a nucleic acid sequence encoding a light chain variant region. The heavy chain variant region comprises one, two or three CDRs of SEQ ID NO: 7. The light chain variant region comprises one, two or three CDRs of sequence number: 9. In certain embodiments, the polynucleotide comprises a nucleic acid sequence encoding a heavy chain variant region and a nucleic acid sequence encoding a light chain variant region. The heavy chain variant region comprises one, two or three SEQ ID NO: 11 CDRs and a light chain The variant region includes a 'two or three sequence number: the CDR of J3. In certain embodiments, a 'polynucleotide comprises a nucleic acid sequence encoding a heavy bond variant region and a nucleic acid sequence encoding a light chain variant region, the heavy chain variant region comprising one, two or three SEQ ID NO: 15 CDRs and light The strand variant region includes one, two or three sequence numbers: the CDR of 17. In certain embodiments, the polynucleotide comprises a nucleic acid sequence encoding a heavy chain variant region and a nucleic acid sequence encoding a light chain variant region, the heavy chain variant region comprising one, two or three sequence numbers: 19 CDRs and light bonds The variant region includes one, two or three sequence numbers: the CDR of 21. In certain embodiments, the polynucleotide comprises a nucleic acid sequence encoding a heavy chain variant region and a nucleic acid sequence encoding a light chain variant region, the heavy chain variant region comprising one, two or three SEQ ID NO: 23 CDR and light chain The variant region includes one, two or three CDRs with a sequence number: 25. In certain embodiments, the polynucleotide comprises a nucleic acid sequence encoding a heavy chain variant region and/or a nucleic acid sequence encoding a light bond variant region, the heavy bond variant region comprising the amino acid sequence of SEQ ID NO: 3, and the light chain variation The region includes the amino acid sequence of SEQ ID NO: 5. In certain embodiments, the polynucleotide comprises a nucleic acid sequence encoding a heavy chain variant region and/or a nucleic acid encoding a light chain variant region 61 201125583 sequence, and the heavy chain variant region comprises a sequence number: amino acid sequence of 7' The strand variation region includes the amino acid sequence of SEQ ID NO: 9. In certain embodiments, the polynucleotide comprises a nucleic acid sequence encoding a heavy chain variant region and/or a nucleic acid sequence encoding a light chain variant region, the heavy chain variant region comprising the amino acid sequence of SEQ ID NO: 11 and a light chain variant The region includes the amino acid sequence of SEQ ID NO: 13. In certain embodiments, the polynucleotide comprises a nucleic acid sequence encoding a heavy chain variant region and/or a nucleic acid sequence encoding a light chain variant region, the heavy chain variant region comprising the amino acid sequence of SEQ ID NO: 15 and a light chain variant The region includes the amino acid sequence of SEQ ID NO: 17. In certain embodiments, the polynucleotide comprises a nucleic acid sequence encoding a heavy chain variant region and/or a nucleic acid sequence encoding a light chain variant region, the heavy chain variant region comprising the amino acid sequence of SEQ ID NO: 19, and the light chain variation The region includes the sequence number: amino acid sequence of 2 1 . In certain embodiments, the polynucleotide comprises a nucleic acid sequence encoding a heavy chain variant region and/or a nucleic acid sequence encoding a light chain variant region, the heavy chain variant region comprising the amino acid sequence of SEQ ID NO: 23, and the light chain variation The region includes the sequence number: 25 amino acid sequence. In certain embodiments, the polynucleotide comprises one or more nucleic acid sequences encoding a single-chain, bispecific antibody, and the single-chain, bispecific antibody comprises (a) a first antigen-binding region that specifically binds to human EpCAM (eg, Specifically binding to an epitope in amino acid 24-63 of human EpC AM), wherein the first antigen binding region comprises a heavy chain variant region (VHEpCAM) and/or a light chain variant region (VLEpCAM); and/or (b) a second antigen-binding region that specifically binds to a human CD3 antigen' wherein the second antigen-binding region comprises a heavy bond variant region (VHCD3) and/or a light chain variant region (VLCD3); wherein the region of the variant region is cis 62 201125583, for example by The order of arrangement from the N-terminus to the C-terminus is VLEpCAM-VHEpCAM-VHCD3-VLCD3. In certain embodiments, the polynucleic acid comprises the nucleic acid sequence of SEQ ID NO: 4 and/or the nucleic acid sequence of SEQ ID NO: 6. In certain embodiments, the polynucleotide comprises a nucleic acid sequence of SEQ ID NO: 8 and/or a nucleic acid sequence of SEQ ID NO: 10. In certain embodiments, the 'polynucleotide comprises the nucleic acid sequence of SEQ ID NO: 12 and/or the nucleic acid sequence of SEQ ID NO: 14. In certain embodiments, the polynucleotide comprises a nucleic acid sequence of SEQ ID NO: 16 and/or a nucleic acid sequence of SEQ ID NO: 18. In certain embodiments, the 'polynucleotide comprises the nucleic acid sequence of SEQ ID NO: 20 and/or the nucleic acid sequence of SEQ ID NO: 22. In certain embodiments, the polynucleotide comprises a nucleic acid sequence of SEQ ID NO: 24 and/or a nucleic acid sequence of SEQ ID NO: 26. In certain embodiments, the polynucleotide comprises a nucleic acid sequence of SEQ ID NO: 28 and/or a nucleic acid sequence of SEQ ID NO: 30. In certain embodiments, the polynucleotide comprises a nucleic acid sequence of SEQ ID NO: 32 and/or a nucleic acid sequence of SEQ ID NO: 34. In certain embodiments, the 'polynucleotide comprises the nucleic acid sequence of SEQ ID NO: 36 and/or the nucleic acid sequence of SEQ ID NO: 38. In certain embodiments, the polynucleotide comprises the nucleic acid sequence of SEQ ID NO: 56 and/or the nucleic acid sequence of SEQ ID NO: 58. In certain embodiments, the polynucleotide comprises a nucleic acid sequence of SEQ ID NO:40. In certain embodiments, the polynucleotide comprises a nucleic acid sequence of SEQ ID NO: 42. In certain embodiments, the polynucleotide comprises the nucleic acid sequence of SEQ ID NO: 44. Those skilled in the art will appreciate that due to the degradation of the genetic code, a number of nucleotide sequences encode one of the polypeptides described herein. 63 201125583 of these polynucleotides, some of which have minimal homology to the nucleotide sequence of any native gene. Thus, the present invention specifically considers changes in polynucleotides resulting from differences in codon usage. Furthermore, the dual gene of the gene comprising the polynucleotide sequence provided herein is within the scope of the invention. A dual gene is an endogenous gene that is altered by one or more mutations, such as deletion, addition and/or substitution of nucleotides. The resulting mRNA and protein may, if not necessarily, have altered structure or function. Dual genes can be identified using standard techniques such as 'hybridization, amplification and/or database sequence alignment. The polynucleotide of the present invention can be obtained by chemical synthesis, recombinant methods or PCR. Methods of synthesizing chemical polynucleotides are well known in the art and need not be described in detail herein. Those skilled in the art can utilize the sequences provided herein and commercial DNA synthesizers to generate the desired DNA sequence. For the preparation of polynucleotides by recombinant methods, a polynucleotide comprising the desired sequence can be inserted into a suitable vector and the vector subsequently introduced into a suitable host cell for replication and amplification' as further described herein. The polynucleotide can be inserted into a host cell by any means known in the art. The exogenous polynucleotide is introduced into the transformed cell by direct ingestion, endocytosis, transfection 'F-mating or electroporation. Once introduced, the exogenous polynucleotide can be maintained in the cell as a non-incorporated vector (e. g., plastid) or incorporated into the host cell genome. The polynucleic acid thus amplified can be isolated from the host cell by a conventional method in the art. See, for example, Sambrook et al. (1989). Or 'PCR can produce DNA sequences. PCR technology is well known in the art and is described in U.S. Patent Nos. 4,683,195, 4,800,159, 4,754,065 64 201125583 and 4,683,202 and PCR: The Polymeraase Chain Reaction,

本發明亦提供載體(諸如,選殖載體、表現載體),其 包括編碼本文所述之任何聚胜肽(包括抗體)的核酸序 列。適當選殖載體可根據標準技術構築或選自大量技術 中可取得之選殖載體。雖然選擇之選殖載體可根據預期 應用之宿主細胞而有所改變,但有用的選殖載體通常具 有自我複製的能力、擁有特定限制内切酶的單一目標與/ 或攜帶可用於選擇含有載體之殖株的標記基因。適當實 例包括質體與細菌病毒,諸如pUC18、PUC19、Bluescript (例如 ’ pBS SK+)與其衍生物、mpU、mpi9、pBR322、 PMB9、ColE卜PCR卜RP4 ’噬菌體DNA、與穿梭載體, 諸如PSA3與pAT28。這些與許多其他選殖載體可取自商 業賣主’諸如 BioRad、Strategene 與 Invitr〇gen。 表現載體通常係可複製的聚核苷酸構築體,其包含根 據本發明之聚核苷酸。表現載體 。表現載體可在宿主細胞中複製成The invention also provides vectors (such as selection vectors, expression vectors) comprising a nucleic acid sequence encoding any of the polypeptides (including antibodies) described herein. Appropriate selection vectors can be constructed according to standard techniques or selected from a wide variety of techniques. Although the selection of the selection vector may vary depending on the host cell for which the application is intended, useful selection vectors typically have the ability to self-replicate, have a single target with specific restriction enzymes and/or carry a vector for selection. Marker gene of the plant. Suitable examples include plastid and bacterial viruses such as pUC18, PUC19, Bluescript (eg 'pBS SK+) and its derivatives, mpU, mpi9, pBR322, PMB9, ColE, PCR RP4 'phage DNA, and shuttle vectors, such as PSA3 and pAT28 . These and many other selection vectors are available from commercial vendors such as BioRad, Strathegene and Invitr〇gen. The expression vector is typically a replicable polynucleotide construct comprising a polynucleotide according to the invention. Performance carrier. The expression vector can be replicated in the host cell

啟動子、增強子與終結子)。 通吊亦需要一或更多轉譯控 65 201125583 制元件,諸如核糖體結合位置、轉譯起始位置與終止密 碼子。 可藉由許多適當手段將包含關注之聚核苷酸的載體導 入宿主細胞中,包括電穿孔、應用氯化鈣、氣化铷、填 酸鈣、DEAE-聚葡萄糖(DEAE-dextran)或其他物質的轉 染,微;主射爲擊;脂轉染法(lip0fecti〇n);與感染(例如, 當載體係例如牛痘病毒之感染性媒介)。導入載體或聚核 苷酸的選擇通常取決於宿主細胞的特徵。某些實施例 中’載體包含之聚核苷酸包括一或多個編碼本文所述之 抗體(例如,抗-EpCAM抗體)之胺基酸序列。某些實施例 中,載體包含之聚核苷酸包括一或多個編碼本文所述之 單鏈雙專一性抗體之胺基酸序列。 本發明亦提供宿主細胞,其包括任何本文所述之聚核 苷酸(例如,包括一或多個編碼本文所述之抗體(例如, 抗-EpCAM抗體)之胺基酸序列的聚核苷酸)或載體(例 如,包含包括一或多個編碼本文所述之抗體(例如,抗 -EpCAM抗體)之胺基酸序列之聚核苷酸的載體)。任何能 夠過度表現異源性DNA之宿主細胞可用於單離編碼關 注之抗體、聚胜肽或蛋白之基因的用途。哺乳類宿主細 胞的非限制實例包括(但不限於)COS、HeLa與CH0細 胞。亦參閱PCT公開案W0 87/04462。適當的非-哺乳類 宿主細胞包括原核生物(諸如,£. co/i或β. 與 酵母菌(諸如,;或尺· /aciis)。某 些實施例中,宿主細胞包括之聚核苷酸包括一或多個編 66 201125583 碼本文所述之單鏈雙專一性抗體的胺基酸序列。 診斷應用Promoters, enhancers, and terminators). One or more translational controls are also required for hang-ups, such as ribosome binding positions, translation start positions, and termination ciphers. A vector comprising a polynucleotide of interest can be introduced into a host cell by a number of suitable means, including electroporation, application of calcium chloride, gasification hydrazine, calcium sulphate, DEAE-polydextrose (DEAE-dextran) or other substances. Transfection, micro; main shot as a hit; lipofection (lip0fecti〇n); and infection (for example, when the vector is an infectious agent such as vaccinia virus). The choice of introduction vector or polynucleotide will generally depend on the characteristics of the host cell. In certain embodiments, the vector comprises a polynucleotide comprising one or more amino acid sequences encoding an antibody (e.g., an anti-EpCAM antibody) described herein. In certain embodiments, the vector comprises a polynucleotide comprising one or more amino acid sequences encoding a single-chain, bispecific antibody described herein. The invention also provides host cells comprising any of the polynucleotides described herein (eg, a polynucleotide comprising one or more amino acid sequences encoding an antibody (eg, an anti-EpCAM antibody) described herein (eg, an anti-EpCAM antibody) Or a vector (eg, a vector comprising a polynucleotide comprising one or more amino acid sequences encoding an antibody (eg, an anti-EpCAM antibody) described herein). Any host cell capable of overexpressing heterologous DNA can be used for the isolation of genes encoding antibodies, polypeptides or proteins. Non-limiting examples of mammalian host cells include, but are not limited to, COS, HeLa, and CH0 cells. See also PCT Publication W0 87/04462. Suitable non-mammalian host cells include prokaryotes (such as £.co/i or β. with yeast (such as; or amp/aciis). In certain embodiments, the host cell comprises a polynucleotide comprising One or more of the amino acid sequences of the single-chain, bispecific antibodies described herein, cit.

本發明提供利用本發明之抗體(例如,抗_EpCAM抗 體)、聚胜肽與聚核皆酸(例如,包括一或多個編碼抗 -EpCAM抗體之胺基酸序列的聚核苦酸)來偵測、診斷與 監控與EpCAM表現相關之疾病、異常或症狀,EpCAM 表現相對正常樣本係增加或減少任一者與/或不適當的 表現(例如,通常缺少EpCAM表現表現之組織與/或細胞 中存在表現某些實施例中,應用本文所述之單鏈雙專 一性抗體或包括一或多個編碼本文所述之單鍵雙專一性 抗體之胺基酸序列的聚核苷酸。 某些貫施例中,方法包括在取自受試者之樣本中偵測 EpCAM表現’而受試者疑有癌症(諸如,乳癌、大腸直 腸癌、胃癌、肺癌、前列腺癌、胰臟癌、咽喉癌與卵巢 癌)°偵測方法較佳包括以本發明之抗體、聚胜肽或聚核 苷酸接觸樣本並確定結合水平是否不同於對照組或對比 樣本的結合水平》方法係有用於確定本文所述之抗體或 聚胜肽是否適合治療患者。 本文所用之詞彙「樣本」或「生物樣本」代表整個生 物或其之組織、細胞或組成部分的一部分(例如,體液包 括(但不限於)A液、黏液、淋巴液、關節液、腦脊液、 唾液、羊水、羊膜臍帶血、尿液、陰道液與精液)。「樣 本」或「生物樣本」進一步代表由整個生物或其之組織、 67 201125583 細胞或組成部分的一部分製備的均質物、裂解物或萃取 物’其包括(但不限於)諸如血漿、金清、脊髓液、淋巴 液、皮膚的外部分、呼吸道、腸道與泌尿生殖道、眼淚、 唾液、乳汁、血液細胞、腫瘤、器官。大部分,樣本已 經自動物上移除,但詞彙「樣本」或「生物樣本」亦可 代表活體内分析的細胞或組織,即不需自動物上移除。 一般而言’「樣本」或「生物樣本」包含來自動物的細胞, 但該詞彙亦代表可用來測量癌症相關之聚核苦酸或聚胜 肽水平的非-細胞性生物材料,諸如血液、唾液或尿液的 非-細胞部分。「樣本」或「生物樣本」進一步代表媒介, 例如已經增殖生物於其中的營養湯或膠,其包含細胞成 分,諸如蛋白或核酸分子。 實^施例中,以抗體接觸細胞或細胞/組織裂解物並確 定抗體與細胞間之結合。當試驗細胞顯示相對於相同組 織類型之對照細胞的結合活性時,這代表試驗細胞係癌 性。某些實施例中,試驗細胞係來自人類組織。 可應用許多技術中習知用於偵測特定抗體-抗原結合 的方法。可根據本發明執行之示範性免疫試驗包括螢光 偏極化免疫試驗(FPIA)、螢光免疫試驗(FIA)、酵素免疫 "式驗(EIA)、散射測濁抑制免疫試驗(nephei〇metric inhibition immunoassay,NIA)、酵素連結免疫吸附試驗 (ELISA)與放射性免疫試驗(RIA)。可將指示部分或標記 基團附著至受試抗體並經選擇以符合可用之試驗設備與 相容免疫試驗步驟通常所規定之不同方法應用的需求。 68 201125583 適當的標記包括(不限於)放射性核素(諸如,mi、13ΐι、 S、3h或32P)、酵素(諸如,鹼性磷酸酶、辣根過氧化 酶、冷光酶或沒-半乳糖苷酶)、螢光部分或蛋白(諸如, 螢光素(fluorescein)、若丹明、藻紅素、GFp或BFp)或 冷光部分(諸如,Q_tum Dot c〇rp〇mi〇n,ρ&1〇 Μ。,Μ 提供的QdotTM奈米微粒)。熟悉技術人士習知執行上述 不同免疫試驗即將應用的一般技術。The invention provides for the use of an antibody of the invention (eg, an anti-EpCAM antibody), a polypeptide, and a polynucleic acid (eg, a polynucleic acid comprising one or more amino acid sequences encoding an anti-EpCAM antibody) Detecting, diagnosing, and monitoring diseases, abnormalities, or symptoms associated with EpCAM performance, EpCAM exhibits increased or decreased performance and/or inappropriate performance relative to normal sample lines (eg, tissues and/or cells that typically lack EpCAM performance) The presence of a single-stranded, bispecific antibody described herein or a polynucleotide comprising one or more amino acid sequences encoding a single-bond, bispecific antibody described herein, in certain embodiments. In one embodiment, the method includes detecting EpCAM expression in a sample taken from the subject' and the subject is suspected of having cancer (eg, breast cancer, colorectal cancer, stomach cancer, lung cancer, prostate cancer, pancreatic cancer, throat cancer) Preferably, the method for detecting ovarian cancer comprises contacting the sample with the antibody, polypeptide or polynucleotide of the present invention and determining whether the level of binding is different from the binding level of the control or the comparative sample. Whether the antibody or polypeptide described herein is suitable for treating a patient. The term "sample" or "biological sample" as used herein refers to the entire organism or a portion of its tissues, cells or components (eg, body fluids include (but are not limited to) ) Liquid A, mucus, lymph, joint fluid, cerebrospinal fluid, saliva, amniotic fluid, amniotic cord blood, urine, vaginal fluid and semen). The "sample" or "biological sample" is further represented by the whole organism or its organization, 67 201125583 A homogenate, lysate or extract prepared from a portion of a cell or component that includes, but is not limited to, plasma, gold, spinal fluid, lymph, outer parts of the skin, respiratory tract, intestinal tract and genitourinary tract , tears, saliva, milk, blood cells, tumors, organs. Most of the samples have been removed automatically, but the words "sample" or "biological sample" can also represent cells or tissues analyzed in vivo, that is, no need to Removal of animals. Generally, 'samples' or 'biological samples' contain cells from animals, but the term also means To measure cancer-related polynucleic acid or polypeptide levels of non-cellular biological materials, such as non-cellular parts of blood, saliva or urine. "Sample" or "biological sample" further represents the medium, for example, has been proliferated A nutrient soup or gel in which it contains a cellular component, such as a protein or nucleic acid molecule. In the embodiment, the antibody is contacted with the cell or cell/tissue lysate and the binding of the antibody to the cell is determined. In the case of binding activity of control cells of the same tissue type, this represents the cancerousness of the test cell line. In some embodiments, the test cell line is derived from human tissue. A number of techniques are known for detecting specific antibody-antigen binding. Methods. Exemplary immunoassays that can be performed in accordance with the present invention include fluorescence polarization immunoassay (FPIA), fluorescent immunoassay (FIA), enzyme immunoassay (EIA), and turbidity inhibition immunoassay (nephei) 〇metric inhibition immunoassay (NIA), enzyme-linked immunosorbent assay (ELISA) and radioimmunoassay (RIA). The indicator moiety or labeling group can be attached to the test antibody and selected to meet the needs of the applicable test equipment and the different methods typically employed in the compatible immunoassay steps. 68 201125583 Suitable markers include, without limitation, radionuclides (such as mi, 13ΐι, S, 3h, or 32P), enzymes (such as alkaline phosphatase, horseradish peroxidase, luminescent enzyme, or galactosides) Enzyme), fluorescent moiety or protein (such as fluorescein, rhodamine, phycoerythrin, GFp or BFp) or luminescent (such as Q_tum Dot c〇rp〇mi〇n, ρ&1〇 Μ.,Μ Provided QdotTM nanoparticle). Those skilled in the art are familiar with the general techniques that will be applied to the various immunoassays described above.

針對診斷之目的,可用可偵測部分標記包括抗體之聚 胜肽,可偵測部分包括(但不限於)放射性同位素、螢光 標記以及許多技術中習知的酵素_基質標記。技術中習知 將標記接合至抗體的方法。 某些實施例中,不需要標記包括本發明之抗體的聚胜 肽,可利用結合本發明之抗體的標記抗體來偵測其之存 在。 本發明之抗體可應用於任何習知試驗方法,諸如競爭 性結合試驗、直接與間接的=明、、Λ J β式驗與免疫沉殺試 驗。Z〇1a, M〇n〇clonal Antib〇dies: A M_ai 〇f pp.147-158 (CRC Press,Inc. 1987) 〇 抗體與聚胜肽亦可用於活體内診斷試驗,例如活體内 成像。通常以放射性核素(諸如’⑴匕、99tc、丨4匸、⑴工、 125I或3H)標記抗體或聚胜肽 肢以致可利用免疫閃爍造影 術(immUn〇SCinti〇graphy)來定位關注之細胞或组織。 抗體亦可當作病理學(利用技藝中習知技術)的㈣。 69 201125583 治療應用 本發明之抗體能夠在試管内缺少細胞毒素接合、免疫 效應子功能或交聯劑之情況下引發癌症細胞之細胞凋 亡。這些抗體可具有更有效的活體内抗-癌症效應。因 此’本發明提供本發明之抗體(例如,本文所述之抗 -EpCAM抗體)與聚胜肽在治療癌症、延遲癌症發展與/ 或避免癌症中的治療應用,癌症諸如乳癌、大腸直腸癌、 胃癌、肺癌、前列腺癌、胰臟癌、咽喉癌與卵巢癌。可 治療任何表現本文所述抗體所能辨別之EpCAM之癌症 細胞。方法可進一步包括在即將治療之個體中偵測本文 所述之抗體或聚胜狀與腫瘤或癌症細胞之間結合的步 驟。 某些實施例中’抗體係本文所提供之單鏈雙專一性抗 體。某些實施例中,單鏈雙專一性抗體包括(a)第一抗原 結合區域,專一性結合人類EpCAM(例如,專一性結合 人類EpCAM之胺基酸24-63中之表位),其中第一抗原 結合區域包括重鏈變異區(VhEpCAm)與/或輕鏈變異區 (VLEpC AM);與/或(b)第二抗原結合區域,專一性結合人 類CD3抗原’其中第二抗原結合區域包括重鍵變異區 (VHCD3)與/或輕鏈變異區(VlCD3);其中變異區之配置順 序(例如’由 N-端至 C-端的配置順序為 VLEpCAM-VHEpCAM-VHCD3-VLCD3)。 通常’將包含抗體或聚胜肽之有效劑量組合物施加至 需要治療之受試者,藉此抑制癌症細胞的生長與/或引發 70 201125583 癌症細胞的死亡。較佳地以藥學可接受載體來配置該組 合物。 一實施例中,組合物經配置以藉由腹膜内、靜脈内、 皮下與肌肉内注射以及其他施加形式(諸如,口服、黏 膜、吸入、舌下等)加以施加。 另一實施例中,本發明亦思及包含接合其他分子(諸 如’可偵測仏5己或治療或細胞毒性劑)之本發明抗體或聚 胜狀之組合物的施加。試劑可包括(但不限於)放射性同 位素、毒素、類毒素、發炎劑、酵素、反義(antisense) 分子、胜肽、細胞素或化學治療劑。熟悉技術人士通常 習知接合抗體與上述分子之方法。參閱諸如,pct公開 案 WO 92/08495、WO 91/14438、WO 89/12624 ;美國專 利號5,314,995與ΕΡ 396,387 ;其之全文倚參考資料併 入本文中。 一實施例中,組合物包括接合細胞毒性劑之抗體或聚 胜肽》細胞毒性劑可包括任何對細胞有害的試劑◊可接 合至抗體或片段的較佳細胞毒性劑類型包括(但不限於) 太平洋紫杉醇(paclitaxol)、細胞鬆弛素B(cyt〇chalasin B)、短桿菌素 D(gramicidin D)、溴化乙啶(ethidium bromide)、吐根驗(emetine)、絲裂黴素(mitomycin)、依 托泊苷(etoposide)、替尼泊苷(tenoposide)、文克斯汀 (vincristine)、長春驗(vinblastine)、秋水仙驗 (colchicin)、多柔比星(doxorubicin)、道諾魯比辛 (daunorubicin)、二經基炭疽菌素二鲷(dihydroxy 71 201125583 anthracin dione)、米托蒽酿(mitoxantrone)、光神霉素 (mithramycin)、放線菌素 D(actinomycin D)、1-去氫睪固 酮(1-dehydrotestosterone)、葡萄糖皮質素 (glucocorticoids)、普魯卡因(procaine)、特他卡因 (tetracaine)、利多卡因(lidocaine)、普萘洛爾(propranolol) 與嘌呤黴素(puromycin)以及上述之類似物或同系物。 治療所需劑量取決於選擇之施加路徑、配方的性質、For diagnostic purposes, a detectable moiety can be used to label a polypeptide comprising an antibody, and the detectable moiety includes, but is not limited to, a radioisotope, a fluorescent label, and many other enzyme-matrix labels as is known in the art. A method of joining a label to an antibody is known in the art. In certain embodiments, it is not necessary to label a polypeptide comprising an antibody of the present invention, and a labeled antibody that binds to the antibody of the present invention can be used to detect its presence. The antibodies of the present invention can be applied to any of the conventional test methods, such as competitive binding assays, direct and indirect gamma, ΛJ beta assays and immunosuppression assays. Z〇1a, M〇n〇clonal Antib〇dies: A M_ai 〇f pp.147-158 (CRC Press, Inc. 1987) 抗体 Antibodies and polypeptides can also be used in in vivo diagnostic assays, such as in vivo imaging. The antibody or polypeptide is usually labeled with a radionuclide (such as '(1) 匕, 99tc, 丨4匸, (1), 125I or 3H) so that immunofluorescence angiography (immUn〇SCinti〇graphy) can be used to locate the cell of interest. Or organization. Antibodies can also be used as pathology (using techniques known in the art) (iv). 69 201125583 Therapeutic Applications The antibodies of the present invention are capable of causing cell death of cancer cells in the absence of cytotoxic junctions, immune effector functions or cross-linkers in vitro. These antibodies can have a more potent anti-cancer effect in vivo. Thus, the invention provides therapeutic applications of an antibody of the invention (e.g., an anti-EpCAM antibody described herein) and a polypeptide in the treatment of cancer, delaying the progression of cancer, and/or avoiding cancer, such as breast cancer, colorectal cancer, Gastric cancer, lung cancer, prostate cancer, pancreatic cancer, throat cancer and ovarian cancer. Any cancer cell that exhibits EpCAM that is recognized by the antibodies described herein can be treated. The method can further comprise the step of detecting binding between the antibody or polyphosphate described herein and the tumor or cancer cell in the subject to be treated. In certain embodiments, the anti-system is a single-chain, bispecific antibody provided herein. In certain embodiments, the single-chain, bispecific antibody comprises (a) a first antigen binding region that specifically binds to human EpCAM (eg, specifically binds to an epitope in amino acid 24-63 of human EpCAM), wherein An antigen binding region includes a heavy chain variant region (VhEpCAm) and/or a light chain variant region (VLEpC AM); and/or (b) a second antigen binding region that specifically binds to a human CD3 antigen' wherein the second antigen binding region comprises The heavy bond variant region (VHCD3) and/or the light chain variant region (VlCD3); wherein the sequence of the variant regions is configured (eg, 'the order from the N-terminus to the C-terminus is VLEpCAM-VHEpCAM-VHCD3-VLCD3). Typically, an effective dosage composition comprising an antibody or a polypeptide is applied to a subject in need of treatment, thereby inhibiting the growth of cancer cells and/or triggering the death of cancer cells. Preferably, the composition is formulated as a pharmaceutically acceptable carrier. In one embodiment, the composition is configured to be applied by intraperitoneal, intravenous, subcutaneous and intramuscular injection, and other forms of application, such as oral, mucosal, inhalation, sublingual, and the like. In another embodiment, the invention also contemplates the application of an antibody or a polymeric composition of the invention that incorporates other molecules, such as 'detectable 仏5 or therapeutic or cytotoxic agents. Reagents can include, but are not limited to, radioisotopes, toxins, toxoids, inflammatory agents, enzymes, antisense molecules, peptides, cytokines, or chemotherapeutic agents. Those skilled in the art are generally familiar with methods of joining antibodies to the above molecules. See, for example, the PCT publications WO 92/08495, WO 91/14438, WO 89/12624, and U.S. Patent No. 5,314,995, the entire disclosure of which is incorporated herein by reference. In one embodiment, the composition comprises an antibody or a polypeptide that binds to a cytotoxic agent. The cytotoxic agent can include any agent that is detrimental to the cells. Preferred cytotoxic agent types that can be conjugated to the antibody or fragment include, but are not limited to, Pacific paclitaxol, cyt〇chalasin B, gramicidin D, ethidium bromide, emetine, mitomycin, Etoposide, tenoposide, vincristine, vinblastine, colchicin, doxorubicin, daunorubicin Daunorubicin), dihydroxy 71 201125583 anthracin dione, mitoxantrone, mithramycin, actinomycin D, 1-dehydrocinone ( 1-dehydrotestosterone), glucocorticoids, procaine, tetracaine, lidocaine, propranolol and puromycin And analogs or homologs as described above. The dosage required for treatment depends on the route of application chosen, the nature of the formulation,

受試者疾病的種類、受試者大小、體重、表面積、年紀 與性別;施加之其他藥劑與主治醫師的判斷。適當劑量 的範圍係 0.01 — 1000.0 mg/kg。 通常可應用任何下列劑量:施加至少約5〇 mg/kg(體 重);至少約10 mg/kg(體重);至少約3 mg/kg(體重);至 少約1 mg/kg(體重);至少約750 pg/kg(體重);至少約 50〇 Pg/kg(體重);至少約250 pg/kg(體重);至少約1〇〇The type of disease, subject size, body weight, surface area, age and sex of the subject; other agents applied and the judgment of the attending physician. The appropriate dose range is 0.01 - 1000.0 mg / kg. Generally, any of the following dosages can be applied: at least about 5 mg/kg (body weight); at least about 10 mg/kg (body weight); at least about 3 mg/kg (body weight); at least about 1 mg/kg (body weight); at least About 750 pg/kg (body weight); at least about 50 〇 Pg/kg (body weight); at least about 250 pg/kg (body weight); at least about 1 〇〇

Pg/kg(體重);至少約5〇Jig/kg(體重至少約(體 重)’至少約1 pg/kg(體重)或更少的劑量。關於數天或更 長(取決於症狀)的重複施加而言,治療持續到出現所欲 之疾病症狀的疾病症狀的抑制《示範性給藥方案包括施 加約6 mg/kg抗體的每週劑量。然而,取決於醫師想達 成之藥物衰退型態,其他給藥方案係有用的。經驗考量 ⑼如,半生期)通常有助於劑量的確定。可藉由傳統技 術與試驗輕易地監測此治療的進展。 、某些受試者中需要高於—劑量。可在治療過程中確定 並調節施加頻率。例如’可根據即將治療之癌症類型與 72 201125583 階段、施加之試劑係用於預防或治療目的、先前治療、 患者的臨床病史與對試劑的反應以及主治醫師的判斷來 確定或調節施加頻率。臨床醫師通常施加一治療抗體(例 如’嵌合5F1抗體)直到達到適當劑量以達成所欲結果。 某些實例中,抗體的持續連續釋出配方係適當的。技術 中習知達成持續釋出的不同配方與裝置。 一實施例中’可在已經給予一或更多施加之受試者上 經驗地確定抗體或聚胜肽的劑量。給受試者增加劑量的 抗體或聚胜肽。爲了確定抗體或聚胜肽的功效,可監測 疾病症狀的標記(例如EpCAM)。亦可藉由確定腫瘤負荷 或體積、疾病進展時間(TDP)與/或確定反應速率(RR)來 測量活體内效率。 根據本發明方法之抗體或聚胜肽施加可為持續性或週 期性’這取決於諸如接受者的生理症狀、施加目的係治 療或預防、以及熟練醫師習知的其他因子β抗體或聚胜 肽的施加可實質持續預定的時間週期或可為連續間隔劑 量。 其他配方包括技術中習知的適當輸送形式,包括(但不 限於)例如脂質體之載體。參閱例如,Mahato等人(1997) P/mrm. 14:853-859。脂質體製備物包括(但不限於) 細胞轉染劑(cytofectin)、多層囊泡(multilamellar vesicle) 與單層囊泡(unilamellar vesicle)。 另一實施例中,組合物可包括一或更多抗-癌症劑、一 或更多本文所述之抗體、或可具有結合不同抗原之抗體 73 201125583 或聚胜肽。上述組合物可包含至少一、至少二、至少三、 至少四、至少五個不同抗體。抗體與其他抗_癌症劑可位 於相同配方(例如混合物,如同技術中通常之表示)、或 位於不同配方(但同時或接續地施加),而特別有用於治 療較廣範圍的個體族群》 編碼本發明之任何抗體或聚胜肽的聚核苷酸亦可用來 將本發明之任何抗體或聚胜肽輸送並表現於所欲之細胞 中。顯而易見的是表現載體可用來直接表現抗體或聚胜 肽。可藉由任何技術中習知手段來施加表現載體,諸如 腹膜内、靜脈内、肌肉内、皮下、脊髓膜内、心室内、 口服、腸胃内(enterally)、非腸胃内、鼻内、真皮、舌下 或藉由吸入。例如,表現載體的施加包括局部或全身性 施加,包括注射、口服、微粒鎗或導管施加與局部施加。 熟悉技術人士熟悉表現載體的施加以取得活體内外源性 蛋白的表現。參閱諸如美國專利號6,436,908、6,413,942 與 6,376,471 ° 亦可應用包括編碼本發明任何抗體或聚胜肽之聚核苷 酸的治療組合物之針對性輸送。受體-介導之DNA輸送 技術係描述於諸如’ Findeis等人TVewc/·? (1993) 1 1:202 ’ Chiou 等人 Gewe TTzerapewn.d.Pg/kg (body weight); a dose of at least about 5 〇Jig/kg (weight at least about (weight)' of at least about 1 pg/kg (body weight) or less. Repeat for days or longer (depending on symptoms) In terms of application, the treatment continues until the onset of symptoms of the disease in which the desired disease symptoms occur. "The exemplary dosing regimen involves the application of a weekly dose of about 6 mg/kg of antibody. However, depending on the drug degenerative pattern that the physician wants to achieve, Other dosing regimens are useful. Empirical considerations (9), such as half-life), generally aid in the determination of the dose. The progress of this treatment can be easily monitored by conventional techniques and experiments. In some subjects, higher than - dose is required. The frequency of application can be determined and adjusted during the course of treatment. For example, the frequency of application can be determined or adjusted depending on the type of cancer to be treated and the phase of the 2011, 2011, 583, the application of the agent for prophylactic or therapeutic purposes, prior treatment, the patient's clinical history and response to the agent, and the judgment of the attending physician. The clinician typically applies a therapeutic antibody (e. g., 'chimeric 5F1 antibody) until the appropriate dose is reached to achieve the desired result. In some instances, a sustained continuous release formulation of the antibody is appropriate. Different formulations and devices that are continuously released are known in the art. In one embodiment, the dose of the antibody or polypeptide can be empirically determined on a subject that has been administered one or more applications. The subject is given an increased dose of antibody or polypeptide. To determine the efficacy of an antibody or a peptide, a marker of disease symptoms (e.g., EpCAM) can be monitored. In vivo efficiency can also be measured by determining tumor burden or volume, time to disease progression (TDP), and/or determining reaction rate (RR). The application of the antibody or polypeptide according to the methods of the invention may be sustained or periodic 'depending on the physiological symptoms such as the recipient, the treatment or prevention of the intended treatment, and other factors known as the β-antibody or polypeptide of the skilled physician. The application may be substantially continuous for a predetermined period of time or may be a continuous interval of dose. Other formulations include suitable delivery forms well known in the art including, but not limited to, carriers such as liposomes. See, for example, Mahato et al. (1997) P/mrm. 14:853-859. Liposomal preparations include, but are not limited to, cytofectins, multilamellar vesicles, and unilamellar vesicles. In another embodiment, the composition may include one or more anti-cancer agents, one or more antibodies described herein, or an antibody that may bind to a different antigen 73 201125583 or a polypeptide. The above compositions may comprise at least one, at least two, at least three, at least four, at least five different antibodies. The antibody and other anti-cancer agents may be in the same formulation (eg, a mixture, as is commonly indicated in the art), or in a different formulation (but simultaneously or sequentially), and are particularly useful for treating a wide range of individual populations. Any of the antibodies or polypeptides of the invention may also be used to deliver and express any of the antibodies or polypeptides of the invention in a desired cell. It will be apparent that expression vectors can be used to directly express antibodies or polypeptides. Expression vectors can be applied by any means known in the art, such as intraperitoneal, intravenous, intramuscular, subcutaneous, intrathecal, intraventricular, oral, enteral, parenteral, intranasal, dermal, Sublingual or by inhalation. For example, application of the expression carrier includes local or systemic application, including injection, oral, microprojectile or catheter application and topical application. Those skilled in the art are familiar with the application of performance carriers to achieve the performance of exogenous proteins in vivo. Reference to, for example, U.S. Patent Nos. 6,436,908, 6,413,942 and 6,376,471 ° may also employ targeted delivery of a therapeutic composition comprising a polynucleotide encoding any of the antibodies or polypeptides of the invention. Receptor-mediated DNA delivery techniques are described, for example, in 'Seeeis et al. TVewc/·? (1993) 1 1:202 ’ Chiou et al. Gewe TTzerapewn.d.

And Applications Of Direct Gene Transfer (J. A. Wolff, ed.) (1994) ; Wu 等人《/. 5ζ·ο/. Chew. (1988) 263:621 ; Wu 等人 J. Biol. Chem. (1994) 269:542 ; Zenke 等人(1990), Proc. Natl. Acad. Sci. USA,名V.3655 ·,等尺(1991),J. 74 201125583 &〇/· C/zew· 266:338。以約 100 ng 至約 200 mg 範圍之 DNA施加包含聚核苷酸之治療組合物以用於基因治療方 案中的局部施加。基因治療方案過程中亦可應用約5〇〇 ng至約50 mg、約1 yg至約2 mg、約5 至約5〇〇 與約20 pg至約1〇〇 的dna濃度範圍。 可利用基因輸送載具輸送本發明之治療聚核苷酸與聚 胜狀。基因輸送載具可係病毒或非·病毒來源(通常參閱 Jolly (1994), Cancer Gene Therapy 1:51 I Kimura (1994), Human Gene Therapy 5:845 ; Connelly (1985), Human Gene l:i85 ;與 Kaplitt (1994),以 6:148) °可利用内源性哺乳動物或異源姓啟動子來引發 上述編碼序列的表現。編碼序列的表現可為持續型或調 節型任一者。 技術中習知用來輸送所欲之聚核苷酸並在所欲之細胞 中表現的病毒式載體。示範性病毒式載體包括(但不限於) 重組反轉錄病毒,諸如PCT公開案WO 90/07936、WO 94/03622、WO 93/25698、WO 93/25234、WO 93/1 1230、 WO 93/10218、WO 91/02805、美國專利號 5,219,740、 4,777,127、GB 專利號 2,200,651 與 EP 專利號 0 345 242; α病毒-式載體’諸如辛德畢斯(Sindbis)病毒載體、聖利 基(Semliki)森林病毒(ATCC VR-67、ATCC VR-1247)、羅 斯河(Ross River)病毒(ATCC VR-373、ATCC VR-1246) 與委内瑞拉(Venezuelan)馬腦炎病毒(ATCC VR-923、 ATCC VR-1250、ATCC VR 1249、ATCC VR-532));與腺 75 201125583 相關病毒(AAV)載體’諸如PCT公開案w〇 94/l2649、 WO 93/03769、WO 93/1 919卜 WO 94/2893 8、WO 95/1 1984 與WO 95/00655。亦可應用Curiel (1992),开請以似 3:147所述施加連接之DNA以殺死腺病毒。 亦可應用非·病毒輸送載具與方法,包括(但不限於) 與單獨殺死腺病毒有關或無關的多陽離子濃縮DNA(參 閱例如’ Curiel (1992),3..147);配體 _ 連接DNA (參閱例如’ wu (1989),/•仏0/. 264:16985);真核生物細胞輸送載具細胞(參閲諸如,美 國專利號 5,814,482、PCT 公開案 WO 95/07994、WO 96/17072、WO 95/30763 與 WO 97/42338)與核電荷中和 作用或與細胞膜融合。 亦可應用裸露DNA»示範性裸露DNA導入方法係描 述於PCT公開案W0 90/I 1092與美國專利號5,580,859。 可作為基因輸送載具之脂質體描述於美國專利號 5,422,120、PCT 公開案 WO 95/13796、WO 94/23697、 WO 91/14445、與EP專利號〇 524 968。額外方法描述於 Philip (1994),Afo/.Ce// 5ζ·〇/. 14:241 1 與 Woffendin (1994), US 91:1581。 此外,本發明提供治療個體中癌症、延緩癌症發展與/ 或避免癌症的方法,其包括a)對個體施加有效劑量包含 本發明之抗體的組合物,與b)對個體施加第二癌症療 法。某些實施例中,第二療法包括手術、輻射、荷爾蒙 療法、基因療法、其他抗體療法與化學療法。可同時(例 76 201125583 如,同步施加)與/或接續地(例如,依序施加)包含抗體之 組合物與第二療法。例如’包含抗體之組合物與第二療 法施加之時間間隔不超過約15分鐘,諸如不超過約1〇、 5或1刀鐘任一者。或者,包含抗體之組合物與第二療 法施加之時間間隔超過約15分鐘,諸如超過2〇、3〇、 40 50或60分鐘、i天、2天、3天、^ 2週或}月 或更久任一者。 可接連或同時施加包括本發明之抗體的組合物與一或 更夕其他Λ3療劑,諸如化學治療劑(諸如,5_FU、 5-FU/MTX、5_FU/溜口佛林(5_FU/若克瘤)、左美索 (Levamisole)、愛萊諾迪肯(Irin〇tecan)、草酸鉑 (Oxahplatm)、卡培他濱(Capecitabin)或尿嘧啶/替尬氟 (Uracil/Tegafur))、免疫佐劑、生長抑制劑、細胞毒性劑 與細胞素等。抗體與治療劑的數量取決於應用藥物之類 型、治療之病理症狀與施加排程與路徑,但通常小於若 各個單獨應用的量。 施加包含本文所述之抗體的組合物之後,可藉由熟悉 技術人士所習知的不同方法評估組合物在試管内與活體 内的效力。S知多種用來試驗候選組合物之抗-癌症活性 的動物模式。這些包括異位移植人類腫瘤之去胸腺裸鼠 或scid/scid小鼠、或遺傳鼠科腫瘤模式(例如,p53剔除 小鼠)。這些動物模式的活體内特性使其可特別預測人類 患者中的反應。可利用標準技術將細胞導入同系 (syngeneic)小鼠來產生上述模式動物,諸如皮下注射、 77 201125583 尾巴靜脈注射、脾臟移植、腹膜内灌注與腎被囊下的灌 注等。 製造物品與套組 本發明亦提供用於本方法之製造物品或套組。本發明 之製造物品或套組包括一或更多容器,其包括本文所述 之純化抗體或聚胜肽以及根據本文所述之任何本發明方 法所用之用法說明。某些實施例中,這些用法說明包括 根據本文所述之任何方法施加抗體以治療、延遲發展與/ 或避免癌症的描述,癌症諸如乳癌、大腸直腸癌、胃癌、 肺癌、刚列腺癌、胰臟癌、咽喉癌與卵巢癌。套組可進 一步包括選擇適合治療之個體的描述,選擇係根據辨別 個體是否具有疾病與疾病階段、或EpCAM是否表現於個 體之癌症細胞上。 某些實施例中,價測樣本中之癌症細胞的製造物品或 套組包括本文所述之抗體或聚胜肽以及偵測樣本中抗體 或聚胜肽結合細胞之多個試劑。 關於使用抗體或聚胜肽以治療、延遲發展與/或避免癌 症之用法說明通常包括預期治療的劑量、給藥方案與施 加路徑等資訊。容器可為單劑量、巨大包裝(例如:、多、劑 量包裝)或次單位劑量。本發明之製造物品或套組中提供 的用法說明通常係書寫在標籤或包裝插入物(例如,套組 内包含之紙片)的用法說明’但亦可接受機器辨認之用法 說明(例如,磁性或光學儲存盤攜帶之用法說明)。 標籤或包裝嵌入物指出該組合物係用來治療、延遲發 78 201125583 展與/或避免本文所述之癌症。可提供用法說明來執〜 文所述之任何方法。 勺'本 本發明之製造物品或套組係位於適當包裝内。適去 裝包括(但不限於)藥水概、瓶子、罐、挽性包裝(諸I包 密封邮訂或塑膠袋)等。亦包括搭配特定裝置應用之^ 裝’特定裝置諸如吸入器、鼻部施加裝置(例如,' 或灌注裝置(例如,微型泵)。製造物品或套組可 ) 菌存取埠(例如,容器可為靜脈内溶液袋或具有皮^主射 針頭可刺穿之塞子的藥水瓶)。容器亦可具有無菌存取埠 (例如’容器可為靜脈内溶液袋或具有皮下注射針頭 二之塞子的藥水瓶)。組合物中至少一活性試劑 =一抗體。容器可進一步包括第二藥學活二 :造物品或套組可選擇性提供額外成分,諸如緩衝液 與說明資訊《通常套組包括容器 去匕花谷器以及在容器上或與其相 之標籤或包裝嵌入物。 體製^物品或套組可包括任一本文所述之抗-EpCAM抗 鍵錐^些實施例中’製造物品或套組包括本文提供之單 又專一性抗體。某些實施例中, 括(幻笛^ 干硬雙專一性杬體包 一抗原結合區域,專一性結 如,專—柹往人 人類EpCAM (例 14、、·=合人類EpCAM之胺基酸2 其中坌一 > κ 文Μ-63中之表位), 弟一抗原結合區域包括重鏈變 或輕鏈鐵显㈣異區(vhEpcam)與/ 鍵變異Q (VLEPCAM);與/或⑻莖_ > 專一祕处人 ’、第一抗原結合區域, 眭、,,。σ人類CD3抗原,其中 $一技*原結合區域包括 79 201125583 重鏈變異區(VHCD3)與/或輕鏈變異區(VlCD3);其中變異 區之排列順序’例如由N_端至c_端之排列順序為 VLEpCAM-VHEpCAM-VHCD3-VLCD3。 實例 提供下方實施例用於描述而非用來限制本發明。 實例1 :抗-hEpCAM抗體的產生 籲 (1)以癌症細胞免疫來產生抗-hEpCAM抗體 自食品工業發展研究所(台灣新竹)獲得人類乳癌細胞 株T-47D (BCRC 60250)與絨毛膜癌細胞株BeWo (CCRC 60073)。在370C且5% C〇2的潮濕環境中,將T-47D維 持在90%具有2 mM L-麩醯胺酸之RpMi 164〇培養基 (GIBCO BRL)中’培養基經調整而包含1.5 g/L碳酸氫 納、4.5 g/L葡萄糖、1〇 mM HEPES、1.0 mM丙酮酸鈉 與0.2單位/ml的牛胰島素;並添加有1〇%的胎牛血清 ® (FBS)、100單位/ml盤尼西林與100 Mg/ml鏈黴素(GIBCO BRL)。在37°C且5% C02的潮濕環境中,將BeWo生長 在85。/。具有2 mM L-.麩醯胺酸之Ham,s F12K培養基 (GIBCO BRL)中’培養基經調整而包含i .5 g/L碳酸氫 鈉;並添加有I5%的FBS、100單位/mi盤尼西林與1〇〇 pg/ml 鏈黴素(GIBCO BRL)。 每隔兩周以500 μΐ PBS中之lxl〇7個T-47D或BeWo 細胞免疫Balb/c小鼠三次。在融合之前3至5天以相同 80 201125583 數量的細胞給予最後的增加,其中取得脾臟細胞並與 X63骨髓癌細胞融合。以添加FBS (Hyclone)且含有 HAT (Hybri-Max®, Sigma H0262,最終濃度係 100 μΜ 次 黃嘌呤、0.4 μΜ氨喋呤與16 μΜ胸腺嘧啶核甘)之DMEM 生長並篩選融合瘤。已經產生三個分別分泌單株抗體 1G10 (IgG!,尺)、12Η8 (IgG2a,尺)與 15F11 (IgG2a,尺)之融 合瘤細胞株 m290-lG10、m342-12H8.3 與 m342-15FlM。 (2)以重組蛋白免疫產生抗-hEpCAM抗體 藉由PCR擴增編碼人類EpCAM細胞外區域(胺基酸 1-264)之cDNA。為了促進表現之重組蛋白的純化,將人 類EpCAM細胞外區域表現成與人類免疫球蛋白r 1重鏈 恆定區(EpCAM Exd-Crl)融合之融合蛋白。根據製造商用 法說明以 Lipofectamine 2000 (Invitrogen,目錄編號 11668-500)將表現質體(pcDNA5/FRT-EpEXD)穩定轉染 入中國倉鼠卵巢(CHO)細胞(Invitrogen,目錄編號 R75 8-07)。在含有 10 % FBS 與 600 ug/ml 濕黴素 B (Hygromycin B) (C.A. IN-10687-010)、極低-Ig (Invitrogen,目錄編號 16250-078)之 Ham’s F12 中生長穩 定細胞株CHO/Exd-Crl »收集培養基並利用蛋白A璦脂 糖凝膠(Amersham Bioscience)收集hEpCAM細胞外區域 (EpCAM Exd-Crl)重組蛋白。 以CFA中之50微克的純化EpCAM Exd_Crl重組蛋白 灌注天生Balb/c小鼠,隨後每隔兩周以ifa中之10微 201125583 克的純化重組蛋白增加三次。最終增加的三天後,收取 小鼠脾臟細胞並與X63骨髓癌細胞融合。以添加1 〇% FBS (Hyclone)且含有 HAT (Hybri-Max®,Sigma H0262, 最終濃度係100 μΜ次黃嘌呤、0.4 μΜ氨喋呤與16 μΜ 胸腺嘧啶核甘)之DMEM篩選融合瘤。已經辨別並進一 步分析分別分泌單株抗體2D1 1 (IgGn /〇、8Β8 (IgG,, 尺)、1F10 (IgG!,1)、6D1 1 (IgG!,尺)、4D2 (IgG!,尺)與 6B2 (IgG!,尺)之融合瘤株 m322-2D11.19、m322-8B8.16、 m338-lF10.3 、 m338-6Dl 1.8 、 m338-4D2.20 與 m338-6B2.3。 實例2 :產生之抗-EpCAM株的特徵描述 (1) CHO/EpCAM細胞株的建立 藉由PCR自T-47D細胞產生之cDNA池擴增編碼全長 人類EpCAM (胺基酸1-3 14)之cDNA,並殖入經修飾之 pcDNA 3.1/Myc-His(+)A 載體(Invitrogen),接著利用 Lipofectamine 2000 (Invitrogen > 目錄編號 1 1 668-500)轉 染入6-井培養盤中80〜90%匯合之中國倉鼠卵巢(CHOW® 胞。在包含 600 ug/ml 濕黴素 B(C.A. IN-10687-010)之 FI 2/10% FBS培養基中篩選轉染株。藉由流式細胞儀以 抗-EpCAM抗體來辨別表現hEpCAM之轉染細胞。 (2) 選擇之抗-EpCAM株對CHO/EpCAM細胞之結合 將1 xlO5個CHO/EpCAM或CHO親本細胞植入V-底96-井盤各個井中,並以0.1 pg/ml濃度之純化抗-EpCAM抗 82 201125583 體或小鼠IgG對照抗體9E10加以培養。在此利用300χ 稀釋的人類細胞高免疫血清(HPS 300χ)作為兩個細胞株 之陽性結合對照。在4°C下培養1小時後,以200 μΐ FACS 緩衝液(含有1% FBS之lx PBS)清洗細胞兩次,以100 μΐ 之FACS緩衝液中的 1 pg/ml山羊-抗-小鼠IgG-PE (Southern Biotech,目錄編號1032-09)染色,並接著在 4°C下培養30分鐘。以FACS缓衝液清洗細胞三次並藉 由流式細胞儀(BD LSR, BD Life Sciences)加以分析。And Applications Of Direct Gene Transfer (JA Wolff, ed.) (1994); Wu et al.//. 5ζ·ο/. Chew. (1988) 263:621; Wu et al. J. Biol. Chem. (1994) 269 : 542 ; Zenke et al. (1990), Proc. Natl. Acad. Sci. USA, name V.3655 ·, et al. (1991), J. 74 201125583 &// C/zew· 266:338. The therapeutic composition comprising the polynucleotide is applied in a range of from about 100 ng to about 200 mg for topical application in a gene therapy regimen. A range of DNA concentrations of from about 5 ng to about 50 mg, from about 1 yg to about 2 mg, from about 5 to about 5 Å, and from about 20 pg to about 1 Torr may also be employed during the gene therapy regimen. The therapeutic polynucleotides of the invention can be delivered using a gene delivery vehicle and a polymorph. The gene delivery vehicle can be a viral or non-viral source (see generally Jolly (1994), Cancer Gene Therapy 1:51 I Kimura (1994), Human Gene Therapy 5:845; Connelly (1985), Human Gene l:i85; An endogenous mammalian or heterologous survivor promoter can be utilized with Kaplitt (1994) at 6: 148) to elicit the expression of the above coding sequences. The performance of the coding sequence can be either continuous or modulated. Viral vectors are known in the art for delivery of the desired polynucleotide and for expression in the desired cells. Exemplary viral vectors include, but are not limited to, recombinant retroviruses, such as PCT Publication WO 90/07936, WO 94/03622, WO 93/25698, WO 93/25234, WO 93/1 1230, WO 93/10218 , WO 91/02805, U.S. Patent No. 5,219,740, 4,777,127, GB Patent No. 2,200,651 and EP Patent No. 0 345 242; α-virus-type carriers such as Sindbis virus vector, Semliki forest virus (ATCC VR-67, ATCC VR-1247), Ross River virus (ATCC VR-373, ATCC VR-1246) and Venezuelan (Venezuelan) equine encephalitis virus (ATCC VR-923, ATCC VR-1250, ATCC VR 1249, ATCC VR-532)); and gland 75 201125583 related virus (AAV) vectors 'such as PCT publications w〇94/l2649, WO 93/03769, WO 93/1 919, WO 94/2893 8, WO 95/1 1984 and WO 95/00655. Curiel (1992) can also be used to apply the DNA of the ligation as described in 3:147 to kill the adenovirus. Non-viral delivery vehicles and methods may also be employed, including, but not limited to, polycation-concentrated DNA associated with or unrelated to killing adenovirus alone (see, for example, 'Curiel (1992), 3..147); Ligand_ Ligation of DNA (see, for example, ' wu (1989), /•仏0/.264:16985); eukaryotic cells transport vehicle cells (see, for example, U.S. Patent No. 5,814,482, PCT Publication No. WO 95/07994, WO 96 /17072, WO 95/30763 and WO 97/42338) with nuclear charge neutralization or fusion with cell membranes. Exemplary bare DNA introduction methods can also be applied to the PCT publication WO 90/I 1092 and U.S. Patent No. 5,580,859. Liposomes that can be used as gene delivery vehicles are described in U.S. Patent No. 5,422,120, PCT Publication No. WO 95/13796, WO 94/23697, WO 91/14445, and EP Patent No. 524 968. Additional methods are described in Philip (1994), Afo/.Ce// 5ζ·〇/. 14:241 1 and Woffendin (1994), US 91:1581. Furthermore, the invention provides a method of treating cancer, delaying the progression of cancer and/or avoiding cancer in an individual comprising a) applying to the individual an effective amount of a composition comprising an antibody of the invention, and b) applying a second cancer treatment to the individual. In certain embodiments, the second therapy includes surgery, radiation, hormonal therapy, gene therapy, other antibody therapies, and chemotherapy. The composition comprising the antibody and the second therapy can be simultaneously (e.g., 76, 2011, 583, e.g., simultaneously applied) and/or sequentially (e.g., sequentially applied). For example, the time interval between the application comprising the antibody and the second treatment is no more than about 15 minutes, such as no more than about 1 〇, 5 or 1 knive. Alternatively, the composition comprising the antibody is applied with the second therapy for a time interval of more than about 15 minutes, such as more than 2, 3, 40 or 60 minutes, i days, 2 days, 3 days, 2 weeks or } months or Any longer. The composition comprising the antibody of the present invention may be applied successively or simultaneously with one or more other therapeutic agents such as chemotherapeutic agents (such as 5-FU, 5-FU/MTX, 5-FU/Sports Folin (5_FU/Rocky tumor) ), Levamisole, Irin〇tecan, Oxahplatm, Capecitabin or Uracil/Tegafur, immunoadjuvant , growth inhibitors, cytotoxic agents and cytokines. The amount of antibody and therapeutic agent will depend on the type of drug being applied, the pathological symptoms of the treatment, and the schedule and route of administration, but will generally be less than the amount used for each individual application. Following application of a composition comprising an antibody as described herein, the efficacy of the composition in a test tube and in vivo can be assessed by various methods known to those skilled in the art. A variety of animal models for testing the anti-cancer activity of candidate compositions are known. These include athymic nude mice or scid/scid mice with ectopically transplanted human tumors, or genetic murine tumor patterns (eg, p53 knockout mice). The in vivo properties of these animal models make it particularly predictive of responses in human patients. Cells can be introduced into syngeneic mice using standard techniques to produce animals of the above model, such as subcutaneous injections, intravenous injection of 77 201125583 tail, spleen transplantation, intraperitoneal perfusion, and subcapsular infusion. Manufactured Articles and Kits The present invention also provides articles of manufacture or kits for use in the present methods. The article of manufacture or kit of the present invention comprises one or more containers comprising the purified antibodies or polypeptides described herein and instructions for use in accordance with any of the methods of the invention described herein. In certain embodiments, these instructions include the description of the application of antibodies to treat, delay, and/or avoid cancer according to any of the methods described herein, such as breast cancer, colorectal cancer, gastric cancer, lung cancer, prostate cancer, pancreas Dirty cancer, throat cancer and ovarian cancer. The kit may further comprise selecting a description of the individual suitable for treatment based on whether the individual has a disease and disease stage, or whether EpCAM is manifested on a cancer cell of the individual. In certain embodiments, a manufactured article or kit of cancer cells in a test sample comprises an antibody or a polypeptide as described herein and a plurality of reagents that detect antibody or polypeptide binding cells in the sample. Instructions for the use of antibodies or polypeptides for treatment, delayed development, and/or avoidance of cancer typically include information such as the intended treatment dose, dosing schedule, and route of administration. The container can be a single dose, a large package (e.g., multiple, dosage package) or a sub unit dose. The instructions provided in the article of manufacture or kit of the present invention are typically written in the label or package insert (eg, a sheet of paper contained within the kit) but may also accept instructions for machine identification (eg, magnetic or Instructions for the use of optical storage trays). The label or package insert indicates that the composition is used to treat, delay, and/or avoid the cancer described herein. Instructions for use can be provided to perform any of the methods described in the text. Spoon 'The article of manufacture or kit of the present invention is in a suitable package. Appropriate equipment includes, but is not limited to, syrup, bottles, cans, and packaging (I pack sealed mail or plastic bags). Also included are device-specific devices such as inhalers, nasal applicators (eg, 'or perfusion devices (eg, micropumps). Manufacturing articles or kits) can be used with specific device applications (eg, containers can be It is an intravenous solution bag or a vial with a stopper that can be pierced by a primary injection needle). The container may also have a sterile access port (e.g., the container may be an intravenous solution bag or a vial having a stopper for a hypodermic needle). At least one active agent in the composition = one antibody. The container may further comprise a second pharmaceutical second: the article or kit may optionally provide additional ingredients, such as a buffer and instructions. "The usual set includes the container to remove the flower and the label or package embedded on or adjacent to the container. Things. The article or kit may comprise any of the anti-EpCAM anti-keys described herein. In some embodiments, the article of manufacture or kit includes the single and specific antibodies provided herein. In some embodiments, the genus (the genus of the human genus EpCAM) is exemplified by the genus of the human genus EpCAM (Example 14, · = human amino acid EpCAM) 2 wherein the epitope of the &-> κ Μ-63, the antigen-binding region includes a heavy chain or a light chain iron (4) hetero region (vhEpcam) and / bond mutation Q (VLEPCAM); and / or (8) Stem _ > specific secretive human ', the first antigen binding region, 眭,,, σ human CD3 antigen, wherein the $1 technology* original binding region includes 79 201125583 heavy chain variation region (VHCD3) and / or light chain variation The region (VlCD3); wherein the order of the mutated regions is, for example, from the N_ terminal to the c_ terminal, is VLEpCAM-VHEpCAM-VHCD3-VLCD3. Examples The following examples are provided for the description and are not intended to limit the present invention. 1 : Production of anti-hEpCAM antibody (1) Production of anti-hEpCAM antibody by cancer cell immunization Human breast cancer cell line T-47D (BCRC 60250) and chorionic cancer cell line were obtained from Food Industry Development Research Institute (Hsinchu, Taiwan). BeWo (CCRC 60073). Maintain T-47D at 90 in a humidified environment of 370C and 5% C〇2 % of RpMi 164® medium (GIBCO BRL) with 2 mM L-glutamic acid was adjusted to contain 1.5 g/L sodium bicarbonate, 4.5 g/L glucose, 1 mM HEPES, 1.0 mM sodium pyruvate With 0.2 units/ml of bovine insulin; plus 1% fetal calf serum® (FBS), 100 units/ml penicillin and 100 Mg/ml streptomycin (GIBCO BRL) at 37 ° C and 5% C02 In a humid environment, BeWo was grown at 85%. In a Ham, s F12K medium (GIBCO BRL) with 2 mM L-. glutamic acid, the medium was adjusted to contain i.5 g/L sodium bicarbonate; I5% FBS, 100 units/mi penicillin and 1〇〇pg/ml streptomycin (GIBCO BRL) were added. Balbs were immunized with lxl〇7 T-47D or BeWo cells in 500 μΐ PBS every two weeks. /c mice three times. The final increase was given by the same 80 201125583 number of cells 3 to 5 days prior to fusion, in which spleen cells were obtained and fused with X63 bone marrow cancer cells to add FBS (Hyclone) and contain HAT (Hybri-Max ®, Sigma H0262, final concentration of 100 μΜ hypoxanthine, 0.4 μΜ ammonia and 16 μΜ thymidine DMEM growth and screening of fusion tumors . Three fusion tumor cell lines m290-lG10, m342-12H8.3 and m342-15FlM, which secrete monoclonal antibodies 1G10 (IgG!, ruler), 12Η8 (IgG2a, ruler) and 15F11 (IgG2a, ruler), have been produced. (2) Production of anti-hEpCAM antibody by recombinant protein A cDNA encoding the extracellular region of human EpCAM (amino acid 1-264) was amplified by PCR. To facilitate purification of the expressed recombinant protein, the extracellular region of human EpCAM is expressed as a fusion protein fused to the human immunoglobulin r 1 heavy chain constant region (EpCAM Exd-Crl). The expression plastid (pcDNA5/FRT-EpEXD) was stably transfected into Chinese hamster ovary (CHO) cells (Invitrogen, catalog number R75 8-07) by Lipofectamine 2000 (Invitrogen, Cat. No. 11668-500) according to the manufacturer's instructions. Stable cell line CHO/ in Ham's F12 containing 10% FBS and 600 ug/ml Hygromycin B (CA IN-10687-010), very low-Ig (Invitrogen, Cat. No. 16250-078) Exd-Crl » The medium was collected and the hEpCAM extracellular region (EpCAM Exd-Crl) recombinant protein was collected using Protein A tourose gel (Amersham Bioscience). The native Balb/c mice were perfused with 50 micrograms of purified EpCAM Exd_Crl recombinant protein in CFA, followed by three times of 201125583 grams of purified recombinant protein in ifa every three weeks. Three days after the final increase, mouse spleen cells were harvested and fused with X63 bone marrow cancer cells. The fusion tumors were screened with DMEM supplemented with 1 〇% FBS (Hyclone) and containing HAT (Hybri-Max®, Sigma H0262, final concentration 100 μΜ hypoxanthine, 0.4 μΜ aminoxanthine and 16 μΜ thymidine). It has been identified and further analyzed to secrete monoclonal antibodies 2D1 1 (IgGn /〇, 8Β8 (IgG,, ruler), 1F10 (IgG!,1), 6D1 1 (IgG!, ruler), 4D2 (IgG!, ruler) and 6B2 (IgG!, ruler) fusion tumor strains m322-2D11.19, m322-8B8.16, m338-lF10.3, m338-6Dl 1.8, m338-4D2.20 and m338-6B2.3. Example 2: Production Characterization of anti-EpCAM strains (1) Establishment of CHO/EpCAM cell line The cDNA encoding full-length human EpCAM (amino acid 1-3 14) was amplified by PCR from a cDNA pool generated by T-47D cells. The modified pcDNA 3.1/Myc-His(+)A vector (Invitrogen) was then transfected into a 6-well plate at 80-90% confluence using Lipofectamine 2000 (Invitrogen > Catalog No. 1 1 668-500). Chinese hamster ovary (CHOW® cells. Screened transfectants in FI 2/10% FBS medium containing 600 ug/ml wet mycin B (CA IN-10687-010). Anti-EpCAM by flow cytometry Antibodies to identify transfected cells expressing hEpCAM. (2) Binding of selected anti-EpCAM strains to CHO/EpCAM cells. 1 x 10 5 CHO/EpCAM or CHO parental cells were implanted into V-bottom 96-well plates. And concentrated at 0.1 pg/ml Purified anti-EpCAM anti-82 201125583 body or mouse IgG control antibody 9E10 was cultured. 300 χ diluted human cell high-immune serum (HPS 300 χ) was used as a positive binding control for the two cell lines at 4 ° C. After 1 hour of incubation, cells were washed twice with 200 μM FACS buffer (1x FBS in 1x PBS) to 1 pg/ml goat-anti-mouse IgG-PE in 100 μM FACS buffer (Southern Biotech) , catalog number 1032-09) stained and then incubated for 30 minutes at 4° C. Cells were washed three times with FACS buffer and analyzed by flow cytometry (BD LSR, BD Life Sciences).

表 2 : 0.1 pg/ml 之抗-EpCAM 抗體對 CHO/EpCAM 與 CHO細胞之結合(FACS,平均螢光強度(MFI)) 株 CHO/EpCAM CHO 12H8 6649 5 15F11 64 5 1G10 6178 5 2D11 3718 6 6D11 1347 5 4D2 1745 5 1F10 5634 6 6B2 1348 5 8B8 1661 5 9E10 6 5 HPS 300x 95 61 表2中之結果顯示所有株均為人類EpCAM專一性,因 為其僅結合CHO/EpCAM而不結合親本CHO細胞。再 者,該些株對CHO/EpCAM細胞呈現不同的結合能力, MFI 範圍由 64 (株 15F11)至 6649 (株 12H8)。 83 201125583 實例3:抗-EpCAM抗體在癌症細胞株中之細胞毒素 效應 (1)抗-EpCAM抗體在不同癌症細胞株中之細胞毒性 關於抗體細胞毒性試驗,將4-5 X 1 04個癌症細胞植入 平底96-井盤各個井中,接著將稀釋於培養基中之不同濃 度(1、3 或 10 pg/ml)的抗-EpCAM (12H8、1G10、1F10、 2D11、6D11與4D2)或對照(9E10)抗體加入細胞中。在 37°C下培養17-20小時後,在室溫下以50plAnnexinV 結合緩衝液(Strong Biotech Corp,目錄編號AVK250)中 之 0.3 μΐ 的 FITC-接合 Annexin V (Strong Biotech Corp, 目錄編號AVK250)將細胞染色20分鐘。清洗後,接著以 200 μ 1 Annexin V結合緩衝液中之0.3μ1的填化丙咬染色 細胞。應用Annexin V與峨化丙唆作為細胞死亡的聯合 指示劑。根據取得的3,000-5,000細胞由BDFACSCalibur 獲取數據並由細胞Quest軟體分析。將Annexin V+/PI+、 Annexin V+/PI-與 Annexin V-/PI +群組之結合百分比視 為死細胞。 表3 :抗-EpCAM抗體在EpCAM-陽性癌症細胞中之細 胞毒素效應 試驗之癌症類型 與細胞株 試驗之 mAb 試驗濃度pg/ml 未處理培 養基對照 1.0 3.0 10 乳癌T-47D 12H8 49 54 56 20 1G10 45 58 64 1F10 51 50 50 2D11 36 48 45 84 201125583Table 2: Combination of 0.1 pg/ml anti-EpCAM antibody to CHO/EpCAM and CHO cells (FACS, mean fluorescence intensity (MFI)) Strain CHO/EpCAM CHO 12H8 6649 5 15F11 64 5 1G10 6178 5 2D11 3718 6 6D11 1347 5 4D2 1745 5 1F10 5634 6 6B2 1348 5 8B8 1661 5 9E10 6 5 HPS 300x 95 61 The results in Table 2 show that all strains are human EpCAM specific because they bind only to CHO/EpCAM but not to parental CHO cells. . Furthermore, these strains exhibited different binding abilities to CHO/EpCAM cells ranging from 64 (15F11) to 6649 (12H8). 83 201125583 Example 3: Cytotoxic effects of anti-EpCAM antibodies in cancer cell lines (1) Cytotoxicity of anti-EpCAM antibodies in different cancer cell lines. About antibody cytotoxicity assay, 4-5 X 1 4 cancer cells Implanted into each well of a flat-bottom 96-well plate, followed by dilution of different concentrations (1, 3 or 10 pg/ml) of anti-EpCAM (12H8, 1G10, 1F10, 2D11, 6D11 and 4D2) or control (9E10) in the medium The antibody is added to the cells. After incubation at 37 ° C for 17-20 hours, 0.3 μΐ of FITC-conjugated Annexin V (Strong Biotech Corp, catalogue number AVK250) in 50 pl of Annexin V binding buffer (Strong Biotech Corp, Cat. No. AVK250) at room temperature will The cells were stained for 20 minutes. After washing, the cells were then stained with a 0.3 μl filling bit in 200 μl Annexin V binding buffer. Annexin V and sputum propionate were used as a combined indicator of cell death. Data were acquired from the BDFACSCalibur based on the obtained 3,000-5,000 cells and analyzed by the Cell Quest software. The percentage of combination of Annexin V+/PI+, Annexin V+/PI- and Annexin V-/PI + groups was regarded as dead cells. Table 3: Cytotoxic effect test of anti-EpCAM antibody in EpCAM-positive cancer cells. Type of cancer and cell strain test mAb test concentration pg/ml untreated medium control 1.0 3.0 10 breast cancer T-47D 12H8 49 54 56 20 1G10 45 58 64 1F10 51 50 50 2D11 36 48 45 84 201125583

6D11 25 40 44 4D2 35 44 45 9E10 14 16 18 大腸直腸癌 DLD-1 12H8 61 67 72 15 1G10 28 40 60 1F10 65 65 61 2D11 18 41 48 6D11 28 53 62 4D2 31 51 62 9E10 14 14 15 胃癌 NCI-N87 12H8 67 62 66 35 1G10 50 60 60 1F10 57 57 57 2D11 45 48 51 6D11 41 51 57 4D2 49 52 55 9E10 35 33 33 肺癌 NCI-H520 12H8 24 29 34 19 1G10 32 41 55 1F10 40 46 57 2D11 41 44 52 6D11 38 42 49 4D2 24 30 32 9E10 29 24 25 前列腺癌LNCaP 12H8 61 67 58 20 1G10 42 55 45 1F10 47 53 48 2D11 40 39 40 6D11 38 43 44 4D2 49 52 50 9E10 26 28 28 咽喉癌FaDu 12H8 42 43 44 18 1G10 40 50 51 1F10 44 42 45 2D11 34 45 46 6D11 26 39 37 4D2 37 43 46 9E10 17 15 14 卵巢癌 NIH:OVCAR-3 12H8 59 62 63 25 1G10 40 50 52 1F10 53 57 59 85 201125583 2D11 43 55 56 6D11 46 52 55 4D2 40 51 56 9E10 22 25 27 表 3 概述以!、3 與 ι〇 μ§/ιηι 之抗 _EpCAM mAbs (12H8、1G10、1F10、2D11、6D11 與 4D2)或 9E10 (同 型對照)培養不同癌症細胞整夜後之Annexin V與PI染 色結果(表示細胞毒素效應結果顯示株12H8、1G10、 1F10、2D11、6D11與4D2可在乳癌(T-47D)、大腸直腸 癌(DLD-1)、胃癌(NCI-N87)、肺癌(NCI-H520)、前列腺 癌(LNCaP)、咽喉癌(FaDu)與卵巢癌(NIH : OVCAR-3)癌 症細胞中引發實質細胞死亡。 (V非所有的抗-EpCAM抗體均可引發實質細胞毒性 將5xl〇4個NCI-H3 58細胞植入96-井盤各個井中,接 著將稀釋於培養基中之1〇 pg/m丨的抗_EpCAM或對照 (9E10) mAbs加入細胞中。在370c下培養Η小時後,在 室溫下以50 μΐ Annexin V結合緩衝液(Strong Bi〇tech Corp,目錄編號AVK250)中之〇·3 μ1的FITC•接合6D11 25 40 44 4D2 35 44 45 9E10 14 16 18 Colorectal cancer DLD-1 12H8 61 67 72 15 1G10 28 40 60 1F10 65 65 61 2D11 18 41 48 6D11 28 53 62 4D2 31 51 62 9E10 14 14 15 Gastric cancer NCI- N87 12H8 67 62 66 35 1G10 50 60 60 1F10 57 57 57 2D11 45 48 51 6D11 41 51 57 4D2 49 52 55 9E10 35 33 33 Lung cancer NCI-H520 12H8 24 29 34 19 1G10 32 41 55 1F10 40 46 57 2D11 41 44 52 6D11 38 42 49 4D2 24 30 32 9E10 29 24 25 Prostate cancer LNCaP 12H8 61 67 58 20 1G10 42 55 45 1F10 47 53 48 2D11 40 39 40 6D11 38 43 44 4D2 49 52 50 9E10 26 28 28 Throat cancer FaDu 12H8 42 43 44 18 1G10 40 50 51 1F10 44 42 45 2D11 34 45 46 6D11 26 39 37 4D2 37 43 46 9E10 17 15 14 Ovarian cancer NIH: OVCAR-3 12H8 59 62 63 25 1G10 40 50 52 1F10 53 57 59 85 201125583 2D11 43 55 56 6D11 46 52 55 4D2 40 51 56 9E10 22 25 27 Table 3 Overview! , 3 and ι〇μ§/ιηι anti-EpCAM mAbs (12H8, 1G10, 1F10, 2D11, 6D11 and 4D2) or 9E10 (isotype control) cultured different cancer cells overnight after Annexin V and PI staining results (representing cells Toxin effect results showed that strains 12H8, 1G10, 1F10, 2D11, 6D11 and 4D2 were available in breast cancer (T-47D), colorectal cancer (DLD-1), gastric cancer (NCI-N87), lung cancer (NCI-H520), prostate cancer. (LNCaP), Throat Cancer (FaDu) and Ovarian Cancer (NIH: OVCAR-3) Cancer cells cause parenchymal cell death. (V not all anti-EpCAM antibodies can trigger substantial cytotoxicity. 5xl〇4 NCI-H3 58 cells were implanted into each well of a 96-well plate, and then 1 〇pg/m 丨 of anti-EpCAM or control (9E10) mAbs diluted in the medium was added to the cells. After incubation at 370 c for Η hours, at room temperature FIT·3 μl of FITC• Bonding in 50 μΐ Annexin V Binding Buffer (Strong Bi〇tech Corp, Cat. No. AVK250)

Annexin V (Strong Biotech Corp,目錄編號 AVK250)將 細胞染色20分鐘。清洗後,接著以2〇〇 y Annexin v結 合緩衝液中之0.3μ1的碘化丙啶染色細胞。應用Annexin V與碘化丙啶作為細胞死亡的聯合指示劑。根據取得的 3,000-5,000細胞由Bd FACSCalibur獲取數據並由細胞 86 201125583Annexin V (Strong Biotech Corp, catalog number AVK250) stained the cells for 20 minutes. After washing, the cells were then stained with 0.3 μl of propidium iodide in 2 μl of Annexin v combined with buffer. Annexin V and propidium iodide were used as a combined indicator of cell death. According to the obtained 3,000-5,000 cells obtained by Bd FACSCalibur and by the cells 86 201125583

Quest 軟體分析。將 Annexin V+/PI+、Annexin V+/PI-與 Annexin V-/PI+群組之結合百分比視為死細胞。 表4 :抗-EpCAM mAbs引發NCI-H3 58肺癌細胞之細 胞死亡 mAb 9E10 12H8 1F10 1G10 2D11 6D11 4D2 6B2 15F11 8B8 試驗1 1 36 32 46 41 45 43 7 4 2 試驗2 -1 33 30 42 32 40 41 2 2 31 試驗3 -4 31 40 48 47 44 45 -4 -5 5 試驗4 4 40 39 47 44 43 46 15 4 12 試驗5 -1 28 37 42 33 40 43 1 -5 18 平均± -0.2 33.6 35.6 45.0 39.4 42.4 43.6 4.2 0.0 13.6 標準 ±1.3 ±2.1 ±2.0 ±1.3 ±3.0 ±1.0 ±0.9 ±3.2 ±2.1 ±5.2 差 P值 P< P< P< P< P< P< 0.24 0.94 0.03 0.01 0.01 0.01 0.01 0.01 0.01Quest software analysis. The percentage of binding between Annexin V+/PI+, Annexin V+/PI- and Annexin V-/PI+ groups was considered as dead cells. Table 4: Anti-EpCAM mAbs trigger cell death of NCI-H3 58 lung cancer cells mAb 9E10 12H8 1F10 1G10 2D11 6D11 4D2 6B2 15F11 8B8 Test 1 1 36 32 46 41 45 43 7 4 2 Test 2 -1 33 30 42 32 40 41 2 2 31 Test 3 -4 31 40 48 47 44 45 -4 -5 5 Test 4 4 40 39 47 44 43 46 15 4 12 Test 5 -1 28 37 42 33 40 43 1 -5 18 Average ± -0.2 33.6 35.6 45.0 39.4 42.4 43.6 4.2 0.0 13.6 Standard ±1.3 ±2.1 ±2.0 ±1.3 ±3.0 ±1.0 ±0.9 ±3.2 ±2.1 ±5.2 Poor P value P<P<P<P<P<P< 0.24 0.94 0.03 0.01 0.01 0.01 0.01 0.01 0.01

Annexin V+PI染色的% (減去未處理背景)% of Annexin V+PI staining (minus unprocessed background)

*t-試驗P值< 0.01 (相較於同型對照抗體9E10之處理) 表4概述抗- EpCAM株在NCI-H358肺癌細胞中引發之 細胞死亡。由5個獨立試驗可清楚理解株i2H8、1F10、 1G10、2DH、6D11與4D2可引發實質細胞死亡(Annexin V+PI染色比背景高出3 0%或更高),然而株6B2、15F11 與8B8幾乎沒有引發NCI_H358肺癌細胞株中之細胞死 亡。此數據清楚顯示並非所有的抗-EpCAM抗體均具有 實質細胞毒素效應(即,Annexin V + Pi染色高出背景 30%或更高)。 87 201125583 實例4 :抗_epCAM抗體與奥沙利鉑之協同效應*t-test P value < 0.01 (compared to treatment with isotype control antibody 9E10) Table 4 summarizes the cell death induced by anti-EpCAM strain in NCI-H358 lung cancer cells. It is clear from five independent experiments that strains i2H8, 1F10, 1G10, 2DH, 6D11 and 4D2 can induce parenchymal cell death (Annexin V+PI staining is 30% higher or higher than background), whereas strains 6B2, 15F11 and 8B8 Almost no cell death in the NCI_H358 lung cancer cell line was elicited. This data clearly shows that not all anti-EpCAM antibodies have a substantial cytotoxic effect (i.e., Annexin V + Pi staining is 30% or higher above background). 87 201125583 Example 4: Synergistic effect of anti-epCAM antibody and oxaliplatin

奥沙利麵結合注入施加之2個其他化療劑5 _氟尿,咬/ 若克瘤(leUcovorin) (5_Fu/lV)目前被視為結腸或直腸末 期癌患者的第一線治療方案之一(Andr0等人(2〇〇4) NOxali face combined with the injection of 2 other chemotherapeutic agents 5 _ fluorourine, bite / leukoma (leucovorin) (5_Fu / lV) is currently considered as one of the first line of treatment for patients with colon or rectal cancer ( Andr0 et al. (2〇〇4) N

Engl J Med 350(23) : 2343-235 1)。為了 試驗抗 _EpCAM 抗體在奥沙利麵存在下之細胞毒性,將1 χ 1 05個COLO 205細胞植入96_井盤各個井中,接著將稀釋於培養基中 之 0.03、0.3 與 3 pg/ml 之抗-EpCAM 或對照(9E10) mAbs 結合0、0.01、0.1與1 jxg/ml濃度之奥沙利鉑添加至細 胞中。在37°C下培養24小時後,在室溫下以5〇 μΐ Annexin V結合緩衝液(Strong Biotech Corp,目錄編號 AVK250)中之 〇·3 μΐ 的 FITC-接合 Annexin v (Str〇ng Biotech Corp,目錄編號AVK250)將細胞染色20分鐘》 清洗後,接著以200 μΐ Annexin V結合緩衝液中之〇 3μ1 的蛾化丙啶染色細胞。應用Annexin V與碟化丙咬作為 細胞死亡的聯合指示劑。根據取得的3,〇〇〇_5,〇〇〇細胞由 BD FACSCalibur獲取數據並由細胞Quest軟體分析。將Engl J Med 350(23) : 2343-235 1). To test the cytotoxicity of anti-EpCAM antibodies in the presence of oxaliline, 1 χ 10 COLO 205 cells were seeded into 96-well plates, followed by dilutions of 0.03, 0.3 and 3 pg/ml in the medium. Anti-EpCAM or control (9E10) mAbs were added to cells at concentrations of 0, 0.01, 0.1 and 1 jxg/ml of oxaliplatin. After incubation at 37 ° C for 24 hours, FIT·3 μΐ of FITC-conjugated Annexin v (Str〇ng Biotech Corp) in 5 μμΐ Annexin V Binding Buffer (Strong Biotech Corp, Cat. No. AVK250) at room temperature , catalog number AVK250) stain the cells for 20 minutes. After washing, the cells were stained with 3 μl of moth propidium in 200 μM Annexin V binding buffer. Application of Annexin V and discogenic bite as a combined indicator of cell death. Based on the obtained 3, 〇〇〇_5, sputum cells were acquired from the BD FACSCalibur and analyzed by the Cell Quest software. will

Annexin V+/PI+、Annexin V+/PI-與 Annexin V-/PI +群組 之結合百分比視為死細胞。 表5 :抗-EpC AM抗體結合奥沙利鉑在c〇LO 205細胞 中之細胞毒素效應 試驗之mAb濃度pg/ml 試驗之奥沙刺 鉑濃度pg/ml 0 0.01 0.1 1 無添加mAb 1 1 1 2 88 201125583 12H8 0.03 9 10 9 14 0.3 20 23 23 「35 3 17 22 26 1F10 0.03 -1 -1 1 5 0.3 6 10 10 22 54 " 3 52 57 —— - _ 61 1G10 0.03 2 1 2 3 0.3 5 4 5 1〇 3 46 38 44 S4 9E10 (對 0.03 -1 0 1 3 ~~' 照) 0.3 -5 4 -1 3 3 0 -3 -1 2 Annexin V+ΡΙ染色的% (減去未處理背景) 表5概述抗-EpCAM株(12H8、1G10與ifi〇)社人戍不 結合化療劑奥沙利翻在COLO 205結腸癌細胞中引發之 細胞死亡。結果顯示抗-EpCAM抗體與奥沙利始一起在 COLO205細胞中之協同細胞毒素效應,特別係高濃度的 抗-EpCAM mAbs (0.3 與 3 pg/ml)與奥沙利鉑 〇 μβ/Γη1)。 實例5.選擇之抗-EpCAM抗體活體内抗_腫瘤效應之 評估 在異種移植模式中研究抗-EpCAM抗體之試管内細胞 凋亡-引發活性是否具有任何活體内生物關聯性。研究抗 體12H8(有效細胞毒性)與6B2 (極微細胞毒性)。在第〇 天將5 xlO6個DLD-1或3 xlO6個NCI-H358細胞皮下植 入SCID小鼠(6-7周)之後侧區。在接種腫瘤_細胞後1天 開始腹膜内>主射〇.11111?88中之12.5 111§/1{;经(針對〇1^-1) 或30 mg/kg(針對NCi_H358)的抗體加以治療,並在第心 89 201125583 8、1 1、15、1 8、22與25天重複為之。作為對照,應用 相同劑量的9E10 (小鼠抗-myc抗體)。在各個實驗組中應 用五或六隻小鼠。藉由卡鉗每隔兩周測量腫瘤體積(mm3) 並利用下式來計算腫瘤尺寸來評估腫瘤生長:π/6 X較 大直徑 X (較小直徑)2 (Kievit Ε,Cancer Research,60 : 6649-55)。利用學生t試驗(Student’s t-test)來執行腫瘤 生長的統計分析。The percentage of binding between Annexin V+/PI+, Annexin V+/PI- and Annexin V-/PI + groups was considered as dead cells. Table 5: mAb concentration of anti-EpC AM antibody in combination with oxaliplatin in c〇LO 205 cells. pg/ml test oxapine platinum concentration pg/ml 0 0.01 0.1 1 no added mAb 1 1 1 2 88 201125583 12H8 0.03 9 10 9 14 0.3 20 23 23 "35 3 17 22 26 1F10 0.03 -1 -1 1 5 0.3 6 10 10 22 54 " 3 52 57 —— - _ 61 1G10 0.03 2 1 2 3 0.3 5 4 5 1〇3 46 38 44 S4 9E10 (for 0.03 -1 0 1 3 ~~' photo) 0.3 -5 4 -1 3 3 0 -3 -1 2 Annexin V+ΡΙ% dyed (minus not Treatment Background) Table 5 summarizes the cell death induced by anti-EpCAM strains (12H8, 1G10 and ifi〇) in combination with the chemotherapeutic agent oxaliplatin in COLO 205 colon cancer cells. The results show that anti-EpCAM antibody and Osa Synergistic cytotoxic effects in COLO205 cells, especially high concentrations of anti-EpCAM mAbs (0.3 vs. 3 pg/ml) and oxaliplatin 〇μβ/Γη1). Example 5. Selected anti-EpCAM antibodies Evaluation of anti-tumor effect in vivo in xenograft mode Study of in vitro in vitro apoptosis-initiating activity of anti-EpCAM antibodies with any living body In vivo bio-association. Study antibody 12H8 (effective cytotoxicity) and 6B2 (very microcytotoxicity). On day 3, 5 x 10 6 DLD-1 or 3 x 10 6 NCI-H358 cells were subcutaneously implanted into SCID mice (6-7). Weekly area. After 1 day after inoculation of tumor_cells, 12.5 111§/1{; (for 〇1^-1) or 30 mg/kg (of 〇1^-1) or 30 mg/kg (in the intraperitoneal > main 〇11111?88) The antibody against NCi_H358) was treated and repeated in centroids 89 201125583 8, 11, 15, 18, 22 and 25 days. As a control, the same dose of 9E10 (mouse anti-myc antibody) was applied. Five or six mice were used in each experimental group. Tumor volume was measured by calipers every two weeks (mm3) and tumor size was calculated using the following formula: π/6 X larger diameter X (smaller diameter) 2 (Kievit Ε, Cancer Research, 60: 6649-55). Statistical analysis of tumor growth was performed using Student's t-test.

表6(a):抗-EpCAM inAbs在大腸直腸癌DLD-1異種移 植中之活體内抗-腫瘤效應(腫瘤體積平均±SD) mAb、天 d29 d32 d36 d39 d43 d46 d49 9E10 1201 纖 135Si248 1665±334 1759±349 2186b422 2606£283 3014t276 6B2 947 士194 1060±140 1386tl94 154H232 1825Ϊ341 215(Μ50 24251450 12H8 296tl54* 396±156* 521±189* 619Ϊ232* 727i270* 839±292* 89&t207* * t試驗P值< 0.05,相對於對照抗體9E10之處理Table 6 (a): In vivo anti-tumor effect of anti-EpCAM inAbs in colorectal cancer DLD-1 xenograft (mean volume ± SD) mAb, day d29 d32 d36 d39 d43 d46 d49 9E10 1201 fiber 135Si248 1665 ± 334 1759±349 2186b422 2606£283 3014t276 6B2 947 194 1060±140 1386tl94 154H232 1825Ϊ341 215 (Μ50 24251450 12H8 296tl54* 396±156* 521±189* 619Ϊ232* 727i270* 839±292* 89&t207* * t test P Value < 0.05, relative to control antibody 9E10

表6(b):抗-EpCAM mAbs在肺癌NCI-H358異種移植 中之活體抗-腫瘤效應(腫瘤體積平均以〇) 天 d46 d50 d53 d57 d60 d64 d67 9E10 630±297 877±337 1249±451 1336±468 1532±548 1809±634 1938±610 6B2 539±148 724±135 862±101 1016±182 1064±181 1198±193 1360±240 12H8 325±132* 475士224* 597±304* 656±274* 680±279* 859±326* 1076±464* * t試驗P值< 〇.〇5,相對於對照抗體9E10之處理 90 201125583 如表6(a)與表6(b)所示,具有強效試管内細胞毒素效 應之抗-EpCAM抗體 12H8有效地抑制大腸結腸癌 (DLD-1)與肺癌(NCI-H358)腫瘤生長,然而抗體6B2具有 相當少的抑制效應。 實例6 :表位定位 (1) hEpCAM之突變區域I的產生 藉由PCR擴增編碼人類EpCAM之第一 EGF-類複本(胺 基酸1-63)(EGF-I)之序列的cDNA。為了促進表現之重組 蛋白的純化,在pVac4AlASP載體中將此區域表現成與 人類免疫球蛋白7 1重鏈之恆定區(EGFI-Crl)融合之融 合蛋白。利用重疊PCR與PCR-式定點突變將第2圖所 示之突變導入野生型EGF-I區域中。根據製造商用法說 明,藉由 Lipofectamine 2000 (Invitrogen,目錄編號 1 1668) 將表現野生型或突變EpCAM-Crl融合蛋白之質體過渡 性轉染進入COS-7細胞。在收集培養基以利用蛋白G瓊 脂糖凝膠(Amersham Bioscience)純化野生型與突變型 EGFI-Crl重組蛋白之前,在含有 10% FBS極低-Ig (Invitrogen,目錄編號16250)之DMEM基中生長細胞5 天。 (2) 抗-EpCAM株對野生型與突變EpCAM蛋白之結合Table 6(b): In vivo anti-tumor effect of anti-EpCAM mAbs in lung cancer NCI-H358 xenografts (average tumor volume) Day d46 d50 d53 d57 d60 d64 d67 9E10 630±297 877±337 1249±451 1336 ±468 1532±548 1809±634 1938±610 6B2 539±148 724±135 862±101 1016±182 1064±181 1198±193 1360±240 12H8 325±132* 475士224* 597±304* 656±274* 680±279* 859±326* 1076±464* * t test P value < 〇.〇5, relative to control antibody 9E10 treatment 90 201125583 As shown in Table 6 (a) and Table 6 (b), strong The anti-EpCAM antibody 12H8, which has a cytotoxic effect in a test tube, effectively inhibits tumor growth of colorectal cancer (DLD-1) and lung cancer (NCI-H358), whereas antibody 6B2 has a relatively small inhibitory effect. Example 6: Epitope mapping (1) Generation of mutant region I of hEpCAM cDNA encoding the sequence of the first EGF-type replica (amino acid 1-63) (EGF-I) of human EpCAM was amplified by PCR. To facilitate purification of the expressed recombinant protein, this region was expressed as a fusion protein fused to the constant region of the human immunoglobulin 71 heavy chain (EGFI-Crl) in the pVac4AlASP vector. The mutation shown in Fig. 2 was introduced into the wild-type EGF-I region by overlapping PCR and PCR-type site-directed mutagenesis. The plastids expressing wild-type or mutant EpCAM-Crl fusion proteins were transiently transfected into COS-7 cells by Lipofectamine 2000 (Invitrogen, Cat. No. 1 1668) according to the manufacturer's instructions. Cells were grown in DMEM containing 10% FBS Very Low-Ig (Invitrogen, Cat. No. 16250) before collecting the medium to purify the wild type and mutant EGFI-Crl recombinant protein using Protein G Sepharose (Amersham Bioscience). 5 days. (2) Combination of wild-type and mutant EpCAM proteins by anti-EpCAM strain

利用直接ELISA來試驗抗-EpCAM抗體對不同EpCAM 突變的反應性。簡而言之,將純化之EpCAM EGF-1融合 蛋白(WT、Q24A、E25K、E26D、A35T、N37R、F39A、 91 201125583 V40E、N41A、N42E、N43A、R44G、Q45A、Q47A 或 T49A)與無關之對照(CEA-Crl)預先在塗覆緩衝液(1 L H20中之8·4gNaHC03、3·4gNa2C03,pH9.5)中稀釋至 0.5 pg/ml並分配至(100 μΐ/井)96-井盤中。在4〇C下培養 整夜後,在室溫下以PBS中之1% BSA (200 μΐ/井)阻塞2 小時,接著在室溫下依序以0.1 pg/ml的一級抗體(抗 -EpCAM株或9E10)與1 : 5,000_稀釋對應之過氧化酶·接 合二級抗體(山羊抗-小鼠 IgG(H+L)(Southern Biotech, 目錄編號 103 1-05)與山羊抗-人類 IgG(H+L)(Jackson ImmunoResearch,目錄編號 109-035-088))培養 1 小時。 接著以PBST清洗盤3次並隨後添加酵素基質TMB (BD Biosciences,目錄編號555214)。在建議培養時間後,添 加2N H2S04 (每井50 μΐ)以停止反應。在ELISA盤讀取 機上測量450 nm波長下的光學密度。Direct ELISA was used to test the reactivity of anti-EpCAM antibodies to different EpCAM mutations. Briefly, the purified EpCAM EGF-1 fusion protein (WT, Q24A, E25K, E26D, A35T, N37R, F39A, 91 201125583 V40E, N41A, N42E, N43A, R44G, Q45A, Q47A or T49A) is irrelevant The control (CEA-Crl) was previously diluted to 0.5 pg/ml in coating buffer (8.4 g of NaHC03, 3.4 g of Na2C03, pH 9.5 in 1 L H20) and distributed to (100 μΐ/well) 96-well plate in. After incubation overnight at 4 ° C, block with 1% BSA (200 μM/well) in PBS for 2 hours at room temperature, followed by 0.1 pg/ml primary antibody (anti-EpCAM) at room temperature. Strain or 9E10) peroxidase-binding secondary antibody (goat anti-mouse IgG (H+L) (Southern Biotech, catalog number 103 1-05) and goat anti-human IgG) H+L) (Jackson ImmunoResearch, catalog number 109-035-088)) was incubated for 1 hour. The plate was then washed 3 times with PBST and then the enzyme substrate TMB (BD Biosciences, catalog number 555214) was added. After the recommended incubation time, 2N H2S04 (50 μM per well) was added to stop the reaction. The optical density at 450 nm was measured on an ELISA disk reader.

Table 7(a):相對於野生型EpCAM,抗-EpCAM株對突 變EpC AM之相對結合活性 mAb WT Q24A E25K E26D Α35Γ N37R F39A V40E N41A N^E N43A R44G Qt5A Q47A T49A 12H8 100 0 1 94 95 94 96 93 81 23 96 91 89 93 94 1G10 100 44 3 1 89 1 78 71 23 93 96 95 80 49 17 1F10 100 93 10 98 93 97 81 1 63 95 100 1 84 92 94 2D11 100 99 93 97 95 94 97 93 12 58 5 7 89 96 95 6D11 100 47 4 57 39 69 23 2 2 83 65 2 8 33 67 4D2 100 41 2 52 27 64 11 1 0 82 57 1 4 23 63 研究並比較各個抗-EpCAM抗體對個別EpCAM突變 (第2圖)及野生型EpCAM分子之結合。表7(a)中之數字 92 201125583 代表各個抗體對各個突變蛋白之結合活性相對於其結合 野生型(WT)蛋白(設定為100%)之百分比》各個數字代表 兩個(針對12H8)或三個(針對1G10、1F10、2D11、6D11、 4D2)獨立ELISA試驗之數據的平均。 表7(b):抗-EpC AM抗體結合之必要殘基 mAb 必要殘基 12H8 Q24、E25 與 N42 1G10 Q24、E25、E26、N37、N4卜 Q47 與 T49 1F10 E25、V40 與 R44 2D11 N4 卜 N43 與 R44 --- 6D11 Q24、E25、A35、F39、V40、N41、R44、〇4Γ^〇^ρ 4D2 Q24、E25、A35、F39、V40、N4卜 R44、 對結 必要 」殘基。 EGF-I區域(胺基酸24-63)中突變造成相 少超過50%之胺基酸被視為抗體結合之「 表7(b)概述各個抗體株之必要殘基。 實例 7 : 12H8、1G10、1F10、2D11、4D2 輕鏈與重鏈變異區之選殖 藉由 PCR 擴增 12H8、lG10、lF10、2Dli、 D2與 輕鏈與重鏈變異區(V區)之cDNA,並選 與 6l>u 6Di TOPO (Invitrogen)以進行序列測定。自許多 PCRII. 緩株 得核苷酸序列並分析之。第3-8圖所示桃%取 辨別出叫UgG, (IgG2a〇(IgG丨’幻、謂㈣“丨)、2叫 欠)、4D2 (IgG丨,尺)與6D11 (IgG丨,尺)之輕鏈$Table 7(a): Relative binding activity of anti-EpCAM strain to mutant EpC AM relative to wild-type EpCAM mAb WT Q24A E25K E26D Α35Γ N37R F39A V40E N41A N^E N43A R44G Qt5A Q47A T49A 12H8 100 0 1 94 95 94 96 93 81 23 96 91 89 93 94 1G10 100 44 3 1 89 1 78 71 23 93 96 95 80 49 17 1F10 100 93 10 98 93 97 81 1 63 95 100 1 84 92 94 2D11 100 99 93 97 95 94 97 93 12 58 5 7 89 96 95 6D11 100 47 4 57 39 69 23 2 2 83 65 2 8 33 67 4D2 100 41 2 52 27 64 11 1 0 82 57 1 4 23 63 Study and compare individual anti-EpCAM antibodies to individual EpCAM mutations (Fig. 2) and the combination of wild-type EpCAM molecules. The number 92 in Table 7(a) 201125583 represents the percentage of binding activity of each antibody to each mutant protein relative to its binding to wild-type (WT) protein (set to 100%). Each number represents two (for 12H8) or three. The average of data for independent ELISA assays (for 1G10, 1F10, 2D11, 6D11, 4D2). Table 7(b): Residues necessary for anti-EpC AM antibody binding mAb Residues 12H8 Q24, E25 and N42 1G10 Q24, E25, E26, N37, N4 Bu Q47 and T49 1F10 E25, V40 and R44 2D11 N4 Bu N43 And R44 --- 6D11 Q24, E25, A35, F39, V40, N41, R44, 〇4Γ^〇^ρ 4D2 Q24, E25, A35, F39, V40, N4, R44, necessary for the knot. Mutations in the EGF-I region (amino acid 24-63) caused less than 50% of the amino acid to be considered as antibody binding. "Table 7 (b) summarizes the necessary residues for each antibody strain. Example 7: 12H8, 1G10, 1F10, 2D11, 4D2 light chain and heavy chain variation regions were cloned by PCR amplification of cDNAs of 12H8, lG10, lF10, 2Dli, D2 and light chain and heavy chain variant regions (V regions), and selected with 6l&gt u6Di TOPO (Invitrogen) for sequence determination. Nucleotide sequences were obtained from a number of PCRII. The strains were analyzed and analyzed. Figures 3-8 show that the peaches are identified as UgG, (IgG2a〇(IgG丨' 幻, (4) "丨", 2 called owe), 4D2 (IgG丨, ruler) and 6D11 (IgG丨, ruler) light chain $

Kabat CDRs之成熟胺基酸序列。已經描迷過 吧與 、氣免疫崠 93 201125583 蛋白 IgGl (Honjo 等人 Cell 18 : 559-568,1979)、IgG2a (Olio 等人 Proc Natl Acad Sci U S A. 78(4) : 2442-2446, 1981)、/c 輕鍵(Hieter 等人 Cell 22(1 Pt 1): 197_207, 1980) 與 λ 1 輕鍵(Seising 等人 Proc Natl Acad Sci U S A. 79 . 4681-4685,1982)同型之恆定區序列。 實例8 :抗-EpCAM與抗-CD3雙專一性抗體(「抗 -EpCAMx抗-CD3 bsAbs」)之評估 材料與方法 抗-EpCAM抗體之擬人化以及單鏈片段變異區(scFv) 之EpCAM-特定臂的產生 互補決定區(CDR)嫁接係用來產生擬人化 12H8B (hl2H8B)、2H8Cc.2 (hl2H8C)與 h2Dl 1B 之變異區。 針對hl2H8Cc.2,對整個無多餘Genebank資料庫之 BLASTP搜尋係用來辨別與ml2H8共有大部分序列相 同性/相似性之人類抗體。將鼠科12H8重鏈之CDR併 入人類抗體 AAA17956 (Genebank 編號 AAA17956)重 鏈變異區(與鼠科12H8重鏈具有66.7%序列相同性)之 框架序列。將鼠科12H8輕鏈之CDR併入人類抗體 AAA86778 (Genebank 編號 AAA86778)輕鍵變異區(與 鼠科12H8輕鏈具有69.2%序列相同性)之框架序列。 針對h2DllB,將鼠科2D11變異區之序列與已經擬 人化之鼠科抗體之序列所構成之資料庫相比,以找出 與鼠科2D11具有最多序列相同性/相似性之鼠科抗體 94 201125583 與對應之擬人化框架序列《因此,將鼠科2DU重鏈之 CDR併入人類抗體VHIII重鏈變異區之框架序列(鼠科 抗體A4.6.1之接受抗體(Baca M.等人j則〇1 Chem. 1997, 272: 10678_10684.),其之重鏈序列顯示與鼠科 2D11重鏈最大的相同性/相似性),並將鼠科2Du輕鏈 之CDR併入人類抗體REI之框架序列(Verh〇eyen me 等人 Immunology 1993,78: 364-370.)(鼠科抗體 HMGF1之接受抗體,其之輕鏈顯示與鼠科2DU輕鍵 最大的序列相同性/相似性)^ 應用相似方法來產生hl2H8B,將鼠科12H8之CDR 併入人類重鏈次群3 (VH III)與人類/c 1 (vlh)變異區 之框架序列(Studnicka GM 等人 Protein Eng. 1994, 7(6) : 805-14)。 合成核苷酸來產生擬人化12H8與2D11變體。接著 將組合之VH與Vl片段插入pcDNA5-FRT-hIgGlK載 體。含有擬人化抗體重鏈與輕鍵基因兩者之組合表現 質 體 hl2H8B/pcDNA5-FRT-hIgGlK 、 hl2H8Cc.2/pcDNA5-FRT-hIgGlK 與 h2Dl lB/pcDNA5-FRT-hIgGlK係用來分別表現用於功 能性研究之hl2H8B、hl2H8C與h2DllB抗體。 hl2H8B、hl2H8Cc.2 與 h2DllB 之 VH 與 VL 區域係用 來產生變異區單鏈片段(scFv)之定臂。Mature amino acid sequence of Kabat CDRs. It has been described that the gas is immune to 崠93 201125583 protein IgGl (Honjo et al. Cell 18: 559-568, 1979), IgG2a (Olio et al. Proc Natl Acad Sci US A. 78(4): 2442-2446, 1981 ), /c light key (Hieter et al. Cell 22 (1 Pt 1): 197_207, 1980) and the constant region of the same type as the λ 1 light key (Seising et al. Proc Natl Acad Sci US A. 79 . 4681-4685, 1982) sequence. Example 8: Evaluation of anti-EpCAM and anti-CD3 bispecific antibodies ("anti-EpCAMx anti-CD3 bsAbs") Materials and Methods Anthropomorphism of anti-EpCAM antibodies and EpCAM-specific of single-stranded fragment variant regions (scFv) The Arm Generation Complementarity Determining Region (CDR) Grafting Line is used to generate a variant region of anthropomorphic 12H8B (hl2H8B), 2H8Cc.2 (hl2H8C) and h2D1 1B. For hl2H8Cc.2, the BLASTP search for the entire redundant Genebank database was used to identify human antibodies that share most of the sequence identity/similarity with ml2H8. The CDRs of the murine 12H8 heavy chain were inserted into the framework sequence of the human antibody AAA17956 (Genebank No. AAA17956) heavy chain variant region (66.7% sequence identity to the murine 12H8 heavy chain). The CDRs of the murine 12H8 light chain were incorporated into the framework sequence of the human antibody AAA86778 (Genebank No. AAA86778) light-key variant region (69.2% sequence identity to the murine 12H8 light chain). For h2DllB, the sequence of the murine 2D11 variant region was compared with the database of the sequence of the anthropomorphic murine antibody to find the murine antibody 94 with the most sequence identity/similarity to murine 2D11. And the corresponding anthropomorphic framework sequence "Therefore, the CDR of the murine 2DU heavy chain was incorporated into the framework sequence of the human antibody VHIII heavy chain variant region (the antibody of the murine antibody A4.6.1 (Baca M. et al. Chem. 1997, 272: 10678_10684.), whose heavy chain sequence shows the greatest identity/similarity to the murine 2D11 heavy chain), and incorporates the CDRs of the murine 2Du light chain into the framework sequence of the human antibody REI (Verh 〇eyen me et al. Immunology 1993, 78: 364-370.) (Accepting antibodies against murine antibody HMGF1, the light chain of which shows the greatest sequence identity/similarity to the murine 2DU light bond) ^ Apply a similar method to generate hl2H8B, the CDR of the murine 12H8 is incorporated into the framework sequence of the human heavy chain subgroup 3 (VH III) and the human/c 1 (vlh) variant region (Studnicka GM et al., Protein Eng. 1994, 7(6): 805- 14). Nucleotides are synthesized to generate anthropomorphic 12H8 and 2D11 variants. The combined VH and V1 fragments were then inserted into the pcDNA5-FRT-hIgGlK vector. The combination of both the humanized antibody heavy chain and the light bond gene is expressed by the plastids hl2H8B/pcDNA5-FRT-hIgGlK, hl2H8Cc.2/pcDNA5-FRT-hIgGlK and h2D1 lB/pcDNA5-FRT-hIgGlK Functional studies of hl2H8B, hl2H8C and h2DllB antibodies. The VH and VL regions of hl2H8B, hl2H8Cc.2 and h2DllB are used to generate a single-stranded fragment (scFv) of the variant region.

AbGn bsAbs之構築與表現 95 201125583 藉由將兩個變異區單鏈片段(scFv)透過5-胺基酸連 接子(L5)融合來構築抗-EpCAMx抗-CD3 bsAbs (第9圖 &表8 )的組合。 表8.抗-EpCAMx抗-CD3構築體 構築體名稱 構築體描述 區域配置 HAS融合 h2DllB-vl h2DllBx 抗-CD3 VL-VH-VH-VL-His6 無 h2DllB-v2.1 h2DllBx 抗-CD3xHSA Vl-Vh-Vh-Vl-HS A-His6 全長 hl2H8B-vl hl2H8Bx 抗-CD3 VL-VH-VH-VL-His6 無 hl2H8B-v2.1 hl2H8Bx 抗-CD3xHSA Vl-Vh-Vh-Vl-HS A-His6 全長 hl2H8C-vl hl2H8Cx 抗-CD3 VL-VH-VH-VL-His6 無 hl2H8C-v2.1 hl2H8Cx 抗-CD3xHSA Vl-Vh-Vh-Vl-HS A-His6 全長 hl2H8C-v2.1-sHS A hl2H8C> 抗-CD3xsHSA Vl-Vh-Vh-Vl-sHS A-His6 短型Construction and performance of AbGn bsAbs 95 201125583 Anti-EpCAMx anti-CD3 bsAbs were constructed by fusing two variant single-stranded fragments (scFv) through a 5-amino acid linker (L5) (Fig. 9 & Table 8) )The combination. Table 8. Anti-EpCAMx anti-CD3 constructs Constructor name Constructs Description Region configuration HAS fusion h2DllB-vl h2DllBx Anti-CD3 VL-VH-VH-VL-His6 No h2DllB-v2.1 h2DllBx Anti-CD3xHSA Vl-Vh -Vh-Vl-HS A-His6 full-length hl2H8B-vl hl2H8Bx anti-CD3 VL-VH-VH-VL-His6 no hl2H8B-v2.1 hl2H8Bx anti-CD3xHSA Vl-Vh-Vh-Vl-HS A-His6 full length hl2H8C -vl hl2H8Cx anti-CD3 VL-VH-VH-VL-His6 no hl2H8C-v2.1 hl2H8Cx anti-CD3xHSA Vl-Vh-Vh-Vl-HS A-His6 full length hl2H8C-v2.1-sHS A hl2H8C> CD3xsHSA Vl-Vh-Vh-Vl-sHS A-His6 short type

EpCAM-專一性單鏈Fv片段係衍生自 hl2H8B、 hl2H8Cc_2與h2Dl 1B之VH與Vl區域。將15-胺基酸 連接子(Li5)插入VL與VH區域之間以形成scFv。所有 候選者共有相同衍生自習知針對人類CD3s (CD3s)之 小鼠單株抗體的scFv之T細胞-專一性臂。為了產生 抗-EpCAMx 抗-CD3 bsAbs,將抗-EpCAM 臂 VH 之 3’ 端透過5-胺基酸連接子(L5)鍵結至CD3s臂VH之5’ 端。將6xHis序列併入CD3s臂之3’端以用於後續親和 力純化。此僅由兩個scFvs構成之bsAb稱為版本1 (vl)。針對版本2.1構築體,在scFv之CD3s臂與6xHis 序列之間插入編碼全長(NCBI 參照序列: NM_000477.5)或部分人類血清白蛋白(HSA或sHSA) 96 201125583 任一者之額外 cDNA (Mtiller D 等人 J Biol Chem 2007, 282 : 12650-12660)。將 CD3s臂 VL 之 3’端透過 5-胺 基酸連接子(L5)鍵結至HSA/sHSA之5’端。具有全長人 類血清白蛋白之構築體稱為hl2H8C-v2.1,而具有部分 人類血清白蛋白之構築體稱為hl2H8C-v2.1-sHSA。 hl2H8B VL之序列(胺基酸序列為序列編號:29 ;核 酸序列為序列編號:30)係顯示於第10A圖中。M2H8B Vh之序列(胺基酸序列為序列編號:27 ;核酸序列為序 列編號:28)係顯示於第10B圖中。hl2H8C 之序列 (胺基酸序列為序列編號:33 ;核酸序列為序列編號: 34)係顯示於第11A圖中。hl2H8C VH之序列(胺基酸序 列為序列編號:3 1 ;核酸序列為序列編號:32)係顯示 於第11B圖中。h2DllB VL之序列(胺基酸序列為序列 編號:37 ;核酸序列為序列編號:38)係顯示於第12a 圖中。h2DllB VH之序列(胺基酸序列為序列編號:35 ; 核酸序列為序列編號:36)係顯示於第12B圖中。抗 -CD3 VL之序列(胺基酸序列為序列編號:57 ;核酸序 列為序列編號:58)係顯示於第13A圖中。抗_CD3 % 之序列(胺基酸序列為序列編號:55 ;核酸序列為序列 編號:56)係顯示於第13B圖中。The EpCAM-specific single-chain Fv fragment is derived from the VH and Vl regions of hl2H8B, hl2H8Cc_2 and h2D1B. A 15-amino acid linker (Li5) was inserted between the VL and VH regions to form an scFv. All candidates share the same T cell-specific arm derived from the scFv of mouse monoclonal antibodies against human CD3s (CD3s). To generate anti-EpCAMx anti-CD3 bsAbs, the 3' end of the anti-EpCAM arm VH was bonded to the 5' end of the CD3s arm VH via a 5-amino acid linker (L5). The 6xHis sequence was incorporated into the 3' end of the CD3s arm for subsequent affinity purification. This bsAb consisting of only two scFvs is called version 1 (vl). For version 2.1 constructs, insert additional cDNA encoding the full-length (NCBI reference sequence: NM_000477.5) or partial human serum albumin (HSA or SHSA) 96 201125583 between the CD3s arm of the scFv and the 6xHis sequence (Mtiller D Et al. J Biol Chem 2007, 282: 12650-12660). The 3' end of the CD3s arm VL is bonded to the 5' end of the HSA/sHSA via a 5-amino acid linker (L5). The construct with full-length human serum albumin is called hl2H8C-v2.1, and the construct with partial human serum albumin is called hl2H8C-v2.1-sHSA. The sequence of hl2H8B VL (amino acid sequence is SEQ ID NO: 29; nucleic acid sequence is SEQ ID NO: 30) is shown in Figure 10A. The sequence of M2H8B Vh (amino acid sequence is SEQ ID NO: 27; nucleic acid sequence is SEQ ID NO: 28) is shown in Figure 10B. The sequence of hl2H8C (amino acid sequence is SEQ ID NO: 33; nucleic acid sequence is SEQ ID NO: 34) is shown in Figure 11A. The sequence of hl2H8C VH (amino acid sequence is SEQ ID NO: 3 1 ; nucleic acid sequence is SEQ ID NO: 32) is shown in Figure 11B. The sequence of h2DllB VL (amino acid sequence is SEQ ID NO: 37; nucleic acid sequence is SEQ ID NO: 38) is shown in Figure 12a. The sequence of h2DllB VH (amino acid sequence is SEQ ID NO: 35; nucleic acid sequence is SEQ ID NO: 36) is shown in Figure 12B. The sequence of anti-CD3 VL (amino acid sequence is SEQ ID NO: 57; nucleic acid sequence is SEQ ID NO: 58) is shown in Figure 13A. The sequence of anti-CD3 % (amino acid sequence is SEQ ID NO: 55; nucleic acid sequence is SEQ ID NO: 56) is shown in Figure 13B.

插入抗-EpCAM scFv之VL與VH之間的連接子(匕) 之序列(胺基酸序列為序列編號:49 ;核酸序列為序列 編號:50)係顯示如下: 1GGGGSGGGGSGGGGS 97 201125583The sequence of the linker (匕) inserted between the VL and VH of the anti-EpCAM scFv (amino acid sequence is SEQ ID NO: 49; nucleic acid sequence is SEQ ID NO: 50) is shown as follows: 1GGGGSGGGGSGGGGS 97 201125583

1 GGTGGTGGTGGTTCTGGCGGCGGCGGCTCCGGTGGTGGTGGTTCT 插入兩個scFvs之間的連接子(L5)之序列(胺基酸序 列為序列編號:51 ;核酸序列為序列編號:52)係顯示 如下:1 GGTGGTGGTGGTTCTGGCGGCGGCGGCTCCGGTGGTGGTGGTTCT The sequence of the linker (L5) inserted between the two scFvs (amino acid sequence is SEQ ID NO: 51; nucleic acid sequence is SEQ ID NO: 52) is shown as follows:

1 G G G G S 1 GGTGGAGGCGGATCC 插入抗-CD3 scFv之VH與VL之間的連接子之序列 (胺基酸序列為序列編號:53 ;核酸序列為序列編號:54) 係顯示如下:1 G G G G S 1 GGTGGAGGCGGATCC The sequence of the linker between the VH and VL inserted into the anti-CD3 scFv (amino acid sequence is SEQ ID NO: 53; nucleic acid sequence is SEQ ID NO: 54) is shown as follows:

1 VEGGSGGSGGSGGSGGVD 1 GTCGAAGGTGGAAGTGGAGGTTCTGGTGGAAGTGGAGGTTCAGGTGGAGTCGAC 連接子(L5)係用於抗-CD3 scFv與HSA/sHSA之間。 vl 版本 hl2H8B bsAb (「hl2H8B_vl」)之序列(胺基 酸序列為序列編號:39 ;核酸序列為序列編號:40)係 顯示於第 14A 圖中。vl 版本 hl2H8C bsAb (「hl2H8C-vl」)之序列(胺基酸序列為序列編號:41 ; 核酸序列為序列編號:42)係顯示於第14B圖中。vl 版本h2DllB bsAb (「h2DllB-vl」)之序列(胺基酸序 列為序列編號:43 ;核酸序列為序列編號:44)係顯示 於第14C圖中。 98 201125583 用於bsAb融合之白蛋白的全長序列(胺基酸序列為 序列編號:45 ;核酸序列為序列編號:46)係顯示於第 15A圖中。用於bsAb融合之短型白蛋白的序列(胺基 酸序列為序列編號:47 ;核酸序列為序列編號:48)係 顯示於第15B圖中。 bsAbs之構築體更在N-端包含信號胜肽序列,諸如 信號胜肽1 (胺基酸序列為序列編號:59 ;核酸序列為 序列編號:60)或信號胜肽2(胺基酸序列為序列編號: 61 ;核酸序列為序列編號:62)。信號胜肽之序列係顯 示如下: 信號胜肽1 :1 VEGGSGGSGGSGGSGGVD 1 GTCGAAGGTGGAAGTGGAGGTTCTGGTGGAAGTGGAGGTTCAGGTGGAGTCGAC The linker (L5) was used between anti-CD3 scFv and HSA/sHSA. The sequence of vl version hl2H8B bsAb ("hl2H8B_vl") (amino acid sequence is SEQ ID NO: 39; nucleic acid sequence is SEQ ID NO: 40) is shown in Figure 14A. The sequence of vl version hl2H8C bsAb ("hl2H8C-vl") (amino acid sequence is SEQ ID NO: 41; nucleic acid sequence is SEQ ID NO: 42) is shown in Figure 14B. The sequence of vl version h2DllB bsAb ("h2DllB-vl") (amino acid sequence is SEQ ID NO: 43; nucleic acid sequence is SEQ ID NO: 44) is shown in Figure 14C. 98 201125583 The full-length sequence of albumin for bsAb fusion (amino acid sequence is SEQ ID NO: 45; nucleic acid sequence is SEQ ID NO: 46) is shown in Figure 15A. The sequence of the short albumin for bsAb fusion (amino acid sequence: SEQ ID NO: 47; nucleic acid sequence: SEQ ID NO: 48) is shown in Figure 15B. The construct of bsAbs further comprises a signal peptide sequence at the N-terminus, such as signal peptide 1 (amino acid sequence is SEQ ID NO: 59; nucleic acid sequence is SEQ ID NO: 60) or signal peptide 2 (amino acid sequence is SEQ ID NO: 61; nucleic acid sequence is SEQ ID NO: 62). The sequence of the signal peptide is shown below: Signal peptide 1:

1 MKLPVRLLVLMFWIPVSSS 1 ATGAAATTGCCTGTTAGGCTGTTGGTGCTGATGTTCTGGATTCCTGTTTCCAGCAGT 信號胜肽2 :1 MKLPVRLLVLMFWIPVSSS 1 ATGAAATTGCCTGTTAGGCTGTTGGTGCTGATGTTCTGGATTCCTGTTTCCAGCAGT Signal peptide 2 :

1 METDTLLLWVLLLWVPGSTG 1 ATGGAGACAGACACACTCCTGCTATGGGTGCTGCTGCTCTGGGTTCCAGGTTCCACCGGT 將組合之序列殖入表現載體pcDNA5-FRT (Invitrogen) 並轉染入中國倉鼠卵巢(CHO)細胞。收集含有bsAb之培 養基懸浮物以用於進一步純化與功能性研究。1 METDTLLLWVLLLWVPGSTG 1 ATGGAGACAGACACACTCCTGCTATGGGTGCTGCTGCTCTGGGTTCCAGGTTCCACCGGT The combined sequences were inserted into the expression vector pcDNA5-FRT (Invitrogen) and transfected into Chinese hamster ovary (CHO) cells. The culture suspension containing the bsAb was collected for further purification and functional studies.

AbGn bsAbs之純化 自100%匯合CHO細胞培養基收集含有分泌bsAb之 細胞培養基懸浮液。利用具有裝填鎳之Ni-NTA樹脂 (Chelating Sephoarose Fast Flow, GE)的固定金屬-親和 力層析技術透過bsAb之C-端6xHis尾巴自懸浮液萃取 99 201125583 bsAb °將析出之蛋白產物更換緩衝至磷酸鹽緩衝液(含 有25mM碟酸鹽緩衝液之l50mMNaCl,ρH7.2)並利 / 用Amicon Ultra-l〇 (Millipore)加以濃縮。接著將濃縮 之蛋白應用於HiLoad 16/60 Superdex 200管柱 (Amersham)上之膠體過濾,以取得單體雙專一性Abs。 在使用前,透過〇.2-μιη過濾器無菌過濾最終產物。 細胞株與培養基 自 American Type Culture Collection (Manassas,VA, USA)取得人類胰臟癌細胞 panc 02.03、肺癌細胞 NCI-H358與多發性骨髓癌細胞RPMI 8226。自台灣新 竹食品工業發展研究所取得人類大腸直腸癌細胞 DLD-1。 將 NCI-H3 58、RPMI 8226 與 DLD-1 維持在含有 1.5 g/L 碳酸氫鈉、4.5 g/L 葡萄糖、10 mM HEPES 與 1.0 mM 丙酮酸鈉且添加有10% FBS、100單位/ml盤尼西林 與 100 pg/ml 鏈黴素(GIBCO BRL)之 RPMI 1640 培養基 (GIBCO BRL)中。在相同改變且具有 15% FBS (Hyclone)、100 units/ml 盤尼西林與 1 00 pg/ml 鍵黴素 (GIBCO BRL)之 RPMI 1640 培養基(GIBCO BRL)中培 養Pane 02.03。將穩定細胞株CHO/EpCAM維持於含有 10 % FBS與600 pg/ml濕黴素B之Ham’s F12培養基 中。均在37°C且5% C02的潮濕環境中培養細胞。 bsAb結合試驗之FACS分析 100 201125583 在藉由Ficoll密度配置純化之人類淋巴球細胞上試 驗bsAbs結合至人類CD3。人類EpCam穩定轉染之細 胞株CHO/EpCAM係用來試驗bsAbs對人類EpCAM結 合。將2χ105個細胞植入96-井、v_底盤之井中,並在 4〇C下以未稀釋之培養基懸浮液培養3〇分鐘。接著以 FACS緩衝液(1XPBS + 1%FBS)清洗細胞兩次。添加pE_ 接合之抗-6xHis Tag 抗體(AD 1 · 1 · 1 〇,Abeam)並在 40C 下培養細胞30分鐘。以不含bsAb之培養基培養並以 抗-6xHis Tag PE-接合抗體染色之細胞係作為陰性對照 (僅有2nd)。接著以FACS緩衝液清洗細胞兩次並藉由 流式細胞儀分析bsAb結合。 FACS-式細胞毒性試驗 藉由Ficoll密度配置自健康捐贈者之全血樣本製備 人類周邊jk液單核細胞(「PBMC」)並作為試驗中之效 應子細胞。 根據製造商之用法說明將目標細胞標上叛基營光素 二醋酸鹽號珀醯亞胺酯(carboxyfluorescein diaeetate succinimidyl ester, CFSE) (Invitrogen,目錄編號 CU57) 或螢光膜染劑PKH-26 (Sigma-Aldrich,目錄編號 PKH26GL)。簡而言之’在PBS或無血清培養基中清洗 目標細胞一次,並調整細胞濃度至含有〇 · 1 % B S A之 PBS中每毫升1χ1〇6個細胞(用於CFSE標記)與Diluent C中每毫升5xl06個細胞(用於PKH-26標記)。 101 201125583 針對C F S E標記,將相π縣接门、,、从 將相同體積(1V)的目標細胞懸浮液 與2.5 μΜ CFSE運作、、交饬、太* —. 液添加在一起並立即溫和地混 口。在藉由添加1〇丨办 甚 mi疋全培養基(含有% FBS)來 終止反應之前’在37°c下標記細胞5分鐘。針對 PKH-26標記,藉由添加4 μι的pKH 26乙㈣劑至】⑷Purification of AbGn bsAbs A suspension of cell culture medium containing secreted bsAb was collected from 100% confluent CHO cell culture medium. The C-terminal 6xHis tail of the bsAb was extracted from the suspension by a fixed metal-affinity chromatography technique with nickel-loaded Ni-NTA resin (Chelating Sephoarose Fast Flow, GE). 99 201125583 bsAb ° The precipitated protein product was buffer-exchanged to phosphoric acid. A salt buffer (150 mM NaCl containing 25 mM discate buffer, ρH7.2) was concentrated and concentrated with Amicon Ultra-1 (Millipore). The concentrated protein was then applied to a colloidal filtration on a HiLoad 16/60 Superdex 200 column (Amersham) to obtain monomeric bispecific Abs. The final product was sterile filtered through a 2-.2-μιη filter prior to use. Cell lines and medium Human pancreatic cancer cells panc 02.03, lung cancer cells NCI-H358 and multiple myeloma cells RPMI 8226 were obtained from the American Type Culture Collection (Manassas, VA, USA). Human colorectal cancer cell DLD-1 was obtained from the Taiwan New Bamboo Food Industry Development Research Institute. Maintain NCI-H3 58, RPMI 8226 and DLD-1 in 1.5 g/L sodium bicarbonate, 4.5 g/L glucose, 10 mM HEPES and 1.0 mM sodium pyruvate with 10% FBS, 100 units/ml penicillin In RPMI 1640 medium (GIBCO BRL) with 100 pg/ml streptomycin (GIBCO BRL). Pane 02.03 was cultured in RPMI 1640 medium (GIBCO BRL) with the same change and 15% FBS (Hyclone), 100 units/ml penicillin and 100 pg/ml levothelin (GIBCO BRL). The stable cell line CHO/EpCAM was maintained in Ham's F12 medium containing 10% FBS and 600 pg/ml wetmycin B. The cells were all cultured in a humidified environment at 37 ° C and 5% CO 2 . FACS analysis of the bsAb binding assay 100 201125583 BsAbs were tested for binding to human CD3 on human lymphocyte cells purified by Ficoll density configuration. The human EpCam stably transfected cell line CHO/EpCAM was used to test the binding of bsAbs to human EpCAM. 2χ105 cells were seeded into wells of 96-well, v_chassis and cultured for 3 min at 4 〇C in undiluted medium suspension. The cells were then washed twice with FACS buffer (1XPBS + 1% FBS). The pE_conjugated anti-6xHis Tag antibody (AD 1 · 1 · 1 〇, Abeam) was added and the cells were incubated at 40 C for 30 minutes. A cell line cultured in a medium without bsAb and stained with anti-6xHis Tag PE-conjugated antibody was used as a negative control (only 2nd). The cells were then washed twice with FACS buffer and bsAb binding was analyzed by flow cytometry. FACS-type cytotoxicity test Human peripheral jk liquid mononuclear cells ("PBMC") were prepared from whole blood samples of healthy donors by Ficoll density and used as effector cells in the assay. According to the manufacturer's instructions, the target cells are labeled with carboxyfluorescein diaeetate succinimidyl ester (CFSE) (Invitrogen, catalog number CU57) or fluorescent film dye PKH-26 ( Sigma-Aldrich, catalog number PKH26GL). Briefly' wash the target cells once in PBS or serum-free medium and adjust the cell concentration to 1χ1〇6 cells per ml (for CFSE labeling) in PBS containing 〇·1% BSA with Diluent C per ml 5 x 106 cells (for PKH-26 labeling). 101 201125583 For CFSE labeling, the phase π county is connected, and the same volume (1V) of the target cell suspension is added to the 2.5 μΜ CFSE, 饬, **. mouth. The cells were labeled for 5 minutes at 37 ° C before the reaction was terminated by adding 1 μM full medium (containing % FBS). For the PKH-26 label, by adding 4 μιη of pKH 26 B (tetra) to (4)

的DUuent C中來製備2χ ρκΗ·26染劑運作溶液(如〇 6 Μ)。將相同體積GV)的目標細胞懸浮液與2χ ρΚΗ_26 染劑運作溶液添加在一起並立即藉由移液管抽吸加以 混合。在添加相同體積之FBS (2V)來終止反應前,周 期性混合5分鐘來標記細胞。 在以完全培養基清洗三次之步驟後,計算標記之目 標細胞並在完全培養基中以10: 1或5:丨的效應子_ 與-目標細胞比例與效應子細胞混合。將5〇 μ1細胞培 養基體積中之目標細胞(1·5χ104)與效應子細胞 (7.5χ104至l.5xl〇5)添加至96_井平底盤之各個井中。 將50微升指示濃度的純化bsAb或培養基懸浮液(培養 基懸浮液)或5 0微升的完全培養基(作為未處理對照) 添加至井中。在5% C〇2濕潤培養器中且3*7。(:下培養 細胞18-20小時。接著收集細胞並在室溫(「rt」)下 以 50μ1 FITC-接合 Annexin V (Strong Biotech Corp.目 錄編號AVK250; 50μ1 Annexin V結合緩衝液中之〇.3μι 原料)染色15-20分。清洗後’接著以50 μΐ的碘化丙 咬(ΡΙ,50 μΐ Annexin V結合緩衝液中之0.3μ1原料)染 色細胞並藉由流式細胞儀(BD LSR,BD Life Sciences) 102 201125583 加以分析。攔下PKH-26-陽性細胞用於分析,並藉由 組合 Annexin V—/ΡΙ+、Annexin V+/PI+與 Annexin V+/PI-群組的百分比來計算死亡細胞。針對CFSE-標 記試驗,可省略Annexin V染色步驟,並攔下CFSE-陽性細胞用於分析並僅以PI+群組來計算死亡細胞百 分比。 細胞生長抑制試驗 藉由比色WST-式細胞增殖試驗來測量BsAb-介導之 鲁 癌症細胞扼殺。藉由Ficoll密度配置自健康捐贈者單 離周邊血液單核細胞(PBMC) (6xl06細胞/ml),並隨即 在完全培養基中與等體積的目標癌症細胞(丨2χ丨〇6細 胞/ml)混合。將50微升分配之含有3X1 〇4個目標細胞 與1.5x1 05個效應子細胞之細胞混合物添加至96井平 底盤中。將50微升指示濃度的純化bsAb或培養基懸 浮液或完全培養基(作為未處理(υτ)對照)添加至對應 φ 井中。在37〇C且50/〇 C02下共同培養2天(40-44小時) 後’藉由兩次PBS清洗移除未附著之pbmc。在370C 下以WST-1溶液(ι00 μ丨培養基中之1〇 μ丨細胞增殖試 劑WST- 1 (Roche))培養存活附著癌症細胞,直到〇D45〇 nm下未處理對照樣本之吸收值達到】5_2 5 (約2小時) 為止。在所有實驗中執行至少兩遍並平均吸收值。如 下般計算細胞生長抑制的百分比: 細胞生長抑制百分比=(UT〇D45〇 —樣本仙州)服圖“ X 100%。 103 201125583 DLD-1人類大腸癌異種移植 六至七周大的雌性非肥胖糖尿病嚴重-聯合免疫缺 陷(NOD-SCID)小鼠(Bi〇iasco)係用於活體内研究。這些 小鼠帶有NOD與SCID突變,因而造成T細胞、B細 胞、自然殺手細胞(NK)與巨噬細胞的缺少。自健康捐 贈者之全血樣本中單離人類效應子細胞。藉由Fic〇U 密度配置來製備周邊血液單核細胞(PBMC)。將0.1 mL 培養基中之5xl06個DLD-1癌症細胞皮下接種至小鼠 之左/右側。8天自然生長後,當如下式計算測量腫瘤 約50-200 mm3時藉由腫瘤内(「IT」)注射5xl〇6個h PBMC作為效應子細胞並將小鼠分成下列群組,體積 =[(長度)x(寬度)2卜2。 針對3個治療群組,在hPBMC IT注射後以1〇 pg/ 小鼠劑量的 hl2H8C-v2.1、hl2H8C-v2.1-sHSA 之 bsAb 或載劑(PBS)靜脈内(「iv」)處理每組8隻動物1小時, 而處理連續重複8天。將4隻動物的額外群組保持在 僅有DLD-1細胞來評估hPBMC效應子細胞引發之非 專一性效應(數據未顯示)。每周監測各個腫瘤之進展兩 次,直到平均腫瘤尺寸達到約1 ·5 cc的體積,在此時 犧牲小鼠。呈現指出時間之腫瘤平均尺寸以用於各個 治療群組間之比較。藉由學生式t試驗對成對數據進行 統計比較。DUuent C is used to prepare 2χ ρκΗ·26 dye working solution (such as 〇 6 Μ). The same volume of GV) of the target cell suspension was added to the 2χρΚΗ_26 dye working solution and immediately mixed by pipetting. Cells were labeled by mixing for 5 minutes with periodic addition of the same volume of FBS (2 V) to stop the reaction. After the step of washing three times with complete medium, the labeled target cells were counted and mixed with effector cells in a complete medium at a ratio of 10: 1 or 5: 效应 effector _ to target cells. Target cells (1.5 χ 104) and effector cells (7.5 χ 104 to 1. 5 x 10 〇 5) in a 5 〇 μ1 cell culture medium volume were added to each well of a 96-well flat disk. 50 microliters of indicated concentration of purified bsAb or medium suspension (culture suspension) or 50 microliters of complete medium (as untreated control) was added to the well. In a 5% C〇2 wet incubator and 3*7. (: The cells were cultured for 18-20 hours. The cells were then harvested and conjugated with Annexin V at 50 μl FITC-at room temperature ("rt") (Strong Biotech Corp. catalog number AVK250; 50 μl Annexin V binding buffer 〇. 3 μιη The material was stained for 15-20 minutes. After washing, the cells were stained with 50 μM iodide (ΡΙ, 50 μΐ Annexin V binding buffer 0.3 μl material) and flow cytometry (BD LSR, BD) Life Sciences) 102 201125583 was analyzed. PKH-26-positive cells were blocked for analysis and dead cells were calculated by combining the percentage of Annexin V-/ΡΙ+, Annexin V+/PI+ and Annexin V+/PI-groups. For the CFSE-labeling assay, the Annexin V staining step can be omitted and CFSE-positive cells can be stopped for analysis and the percentage of dead cells counted only in the PI+ group. The cell growth inhibition assay is measured by the colorimetric WST-type cell proliferation assay. BsAb-mediated lung cancer cell killing. Ficoll density was configured from healthy donors to separate peripheral blood mononuclear cells (PBMC) (6xl06 cells/ml) and then in complete medium with an equal volume of target Symptomatic cells (丨2χ丨〇6 cells/ml) were mixed. Add 50 μl of a mixture of cells containing 3×1 〇4 target cells and 1.5×10 05 effector cells to a 96 well flat plate. Concentrated purified bsAb or medium suspension or complete medium (as untreated (υτ) control) was added to the corresponding φ well. After co-cultivation for 2 days (40-44 hours) at 37 ° C and 50/〇C02 The unattached pbmc was removed by two PBS washes. The surviving adherent cancer cells were cultured in WST-1 solution (1 〇μ丨 cell proliferation reagent WST-1 (Roche) in ι00 μ丨 medium) at 370C until 〇D45〇 The absorbance of the untreated control sample at nm reached [5-2] (about 2 hours). At least two passes and average absorbance values were performed in all experiments. The percentage of cell growth inhibition was calculated as follows: Percent inhibition of cell growth = (UT〇 D45 〇 - sample Xianzhou) service map "X 100%. 103 201125583 DLD-1 human colorectal cancer xenograft six to seven weeks old female non-obese diabetic severe - combined immunodeficiency (NOD-SCID) mice (Bi〇iasco ) for in vivo research These mice carry NOD and SCID mutations, resulting in the lack of T cells, B cells, natural killer cells (NK) and macrophages. Human effector cells are isolated from whole blood samples from healthy donors. Peripheral blood mononuclear cells (PBMC) were prepared by Fic〇U density configuration. 5 x 106 DLD-1 cancer cells in 0.1 mL of medium were subcutaneously inoculated to the left/right side of the mice. After 8 days of natural growth, when the tumor was measured to be about 50-200 mm3 as follows, 5xl〇6 h PBMCs were injected as intra-tumor ("IT") as effector cells and the mice were divided into the following groups, volume = [ (length) x (width) 2 bu. Treatment of 3 treatment groups with hPBMC IT injection at 1〇pg/mouse dose of hl2H8C-v2.1, hl2H8C-v2.1-sHSA bsAb or vehicle (PBS) intravenously ("iv") Eight animals per group were treated for 1 hour, while treatment was repeated for 8 consecutive days. An additional cohort of 4 animals was maintained in DLD-1 only cells to assess the non-specific effects elicited by hPBMC effector cells (data not shown). The progress of each tumor was monitored twice a week until the average tumor size reached a volume of approximately 1.25 cc, at which time the mice were sacrificed. The average tumor size at time is presented for comparison between treatment groups. Statistical comparisons of paired data were performed by Student's t test.

AbGn構築之bsAbs結合至目標細胞 104 201125583 藉由 FACS分析研究抗-EpCAMx抗-CD3 bsAbs對 EpCAM-陽性與CD3-陽性細胞之結合。在自兩個捐贈 者(捐贈者N095與捐贈者N094)製備之人類淋巴球上 試驗BsAbs結合至人類CD3。參閱表9A。人類EpCAM 穩定轉染之細胞株CHO/EpCAM係用來試驗bsAbs對 人類 EpCAM 之結合。參閱表 9B。結果顯示 h2Dl ΙΒ-vl 、 h2Dl. 1Β-ν2.1 、 hl2H8B-v2.1 與 hl2H8C-v2.1能夠結合人類淋巴球與CHO/EpCAM細胞 (表 9A & 9B)。 表9. AbGn構築之抗-EpCAM X抗-CD3 bsAbs對來 自兩個不同捐贈者之人類淋巴球(A)與EpCAM表現 CHO 細胞(CHO/EpCAM) (B)之結合 (A)CD3-臂結合。表中由左至右顯示未稀釋培養基懸 浮液中各個個別bsAbs在hPBMC中結合陽性淋巴球之 百分比(%)。 對照或含有bsAb培 養基懸浮液 未染 抗-His (僅有 2nd) h2DllB- vl h2DllB- v2.1 hl2H8C- v2.1 hl2H8B- v2.1 攔到之淋巴 球 捐贈 者 N095 1% 2% 77% 73% 55% 58% 捐贈 者 N094 1% 1% 68% 65% 47% 51% 以不含bsAb之培養基並以抗-6xHis Tag PE-接合抗 體培養之細胞係作為陰性對照(僅有2nd)。結果顯示 105 201125583 h2Dl ΙΒ-vl 、 h2Dl 1B-v2.1 、 hl2H8B-v2.1 與 hl2H8C-v2.1能夠結合人類淋巴球。 (B)EpCAM-臂結合。表中由左至右顯示各個個別 bsAbs在未稀釋培養基懸浮液中之平均蝥光強度 (MFI)。 對照或含有bsAb 培養基懸浮液 未染 抗-His (僅有 2nd) h2DllB- vl h2DllB- v2.1 hl2H8C -v2.1 hl2H8B -v2.1 CHO/EpCAM 5 4 1701 1871 1801 1555 以不含bsAb之培養基並以抗- 6xHis Tag PE-接合抗 體培養之細胞係作為陰性對照(僅有2nd)。結果顯示 h2Dl lB-vl 、 h2Dl 1Β-ν2.1 、 hl2H8B-v2.1 與 hl2H8C-v2_l能夠結合EpCAM表現CHO細胞。AbGn-constructed bsAbs bind to target cells 104 201125583 The binding of anti-EpCAMx anti-CD3 bsAbs to EpCAM-positive and CD3-positive cells was investigated by FACS analysis. BsAbs were tested for binding to human CD3 on human lymphocytes prepared from two donors (donor N095 and donor N094). See Table 9A. The human EpCAM stably transfected cell line CHO/EpCAM was used to test the binding of bsAbs to human EpCAM. See Table 9B. The results showed that h2D1 ΙΒ-vl, h2Dl.1Β-ν2.1, hl2H8B-v2.1 and hl2H8C-v2.1 were able to bind human lymphocytes and CHO/EpCAM cells (Table 9A & 9B). Table 9. AbGn-constructed anti-EpCAM X anti-CD3 bsAbs bind human lymphocytes (A) from two different donors to EpCAM-expressing CHO cells (CHO/EpCAM) (B) (A) CD3-arm binding . The percentage (%) of positive lymphocytes bound to each individual bsAbs in hPBMC in the undiluted medium suspension is shown from left to right in the table. Control or containing bsAb medium suspension unstained anti-His (only 2nd) h2DllB-vl h2DllB- v2.1 hl2H8C- v2.1 hl2H8B- v2.1 blocked lymphocyte donor N095 1% 2% 77% 73 % 55% 58% Donor N094 1% 1% 68% 65% 47% 51% A cell line cultured in the medium without bsAb and cultured with anti-6xHis Tag PE-conjugated antibody was used as a negative control (only 2nd). The results showed that 105 201125583 h2Dl ΙΒ-vl, h2Dl 1B-v2.1, hl2H8B-v2.1 and hl2H8C-v2.1 were able to bind human lymphocytes. (B) EpCAM-arm binding. The mean calender intensity (MFI) of each individual bsAbs in the undiluted medium suspension is shown from left to right in the table. Control or bsAb medium suspension was not stained with anti-His (only 2nd) h2DllB-vl h2DllB- v2.1 hl2H8C -v2.1 hl2H8B -v2.1 CHO/EpCAM 5 4 1701 1871 1801 1555 with bsAb-free medium The cell line cultured with anti- 6xHis Tag PE-conjugated antibody was used as a negative control (only 2nd). The results showed that h2D1 lB-vl, h2Dl 1Β-ν2.1, hl2H8B-v2.1 and hl2H8C-v2_l were able to express CHO cells in combination with EpCAM.

AbGn bsAbs與人類T淋巴球之試管内細胞毒素效力 以具有或不具有人類EpCAM表現之CHO細胞株來 研究bsAb之專一性。以10 : 1之效應子-比-目標比例 將效應子細胞(人類PBMC)與目標細胞混合並以一系 列培養基懸浮液之稀釋(2x、6x與20x)加以培養。在培 養20小時後,藉由流式細胞儀確定目標細胞死亡(由 陽性之碘化丙啶染色指出)(表1 0)。雖然在T細胞與 bsAb存在下並無實際發現親本CHO細胞之細胞死 亡,但以含有 h2Dl lB-vl、hl2H8B-vl、hl2H8B-v2.1、 106 201125583 hKHSC-W與hl2H8C_v2」之培養基懸浮液處理可有 效地引發EpCAM-表現之CHO細胞之細胞死亡。 表10. bsAbs之不同組合的目標細胞裂解專一性陽 性目標細胞的°/〇 (減去未處理背景值)) 細胞 C ΉΟ/EpCAM CHO " ~~ 稀釋倍數 2x 6x 20x 2x 6x 2〇y h2DllB-vl 31.4 30^9~~ 17.3 0.7 0 0 1 h2DllB-v2.1 2.2 1.2 0 4.3 2.2 〇~5 ~ hl2H8B-vl 43.6 41.9 37.2 0.4 0 〇 hl2H8B-v2.1 33.2 27.4 一 13.5 1.1 0.1 0.4 hl2H8C-vl 46.3 49.4 43.2 0.2 0 〇 hl2H8C-v2.1 58.7 53.6 46.4 0.4 0.3 0.3 親本CHO或穩定轉染之CHO/EpCAM係作為細胞毒性 試驗中之目標細胞’試驗係在人類PBMC以1 : 5之比例 存在下以及含有bsAb培養基懸浮液的一系列稀釋。藉由 流式細胞儀確定目標細胞裂解,方式為在20小時培養後 目標細胞變成碘化丙啶-陽性的百分比。 F ASC-式細胞凋亡試驗與細胞增殖試驗係用來確定 純化之bsAb或含有bsAb之培養基懸浮液任一者在人 類PBMC存在下對人類癌細胞之專一細胞毒性的程 度。以5 : 1之效應子-比-目標比例將效應子細胞與目 標細胞混合,並以一系列稀釋的培養基懸浮液與純化 之bsAbs培養整夜。針對人類胰臟癌(panc.〇2.〇3)、肺 癌(NCI-H3 58)與多發性骨髓癌細胞(RPMI 8226),目標 107 201125583 細胞細胞凋亡或生長抑制的劑量反應係顯示於第16圖 與第17圖》In vitro cytotoxic potency of AbGn bsAbs and human T lymphocytes The specificity of bsAb was studied in CHO cell lines with or without human EpCAM expression. Effector cells (human PBMC) were mixed with target cells at a 10:1 effector-specific-target ratio and cultured with dilutions (2x, 6x and 20x) of a series of media suspensions. After 20 hours of incubation, target cell death was determined by flow cytometry (indicated by positive propidium iodide staining) (Table 10). Although no cell death of the parental CHO cells was actually found in the presence of T cells and bsAb, a medium suspension containing h2D1 lB-vl, hl2H8B-vl, hl2H8B-v2.1, 106 201125583 hKHSC-W and hl2H8C_v2" was used. Treatment can effectively elicit cell death in EpCAM-expressing CHO cells. Table 10. Target cell lysis of different combinations of bsAbs °/〇 of specific target cells (minus untreated background value) Cell C ΉΟ/EpCAM CHO " ~~ Dilution multiple 2x 6x 20x 2x 6x 2〇y h2DllB -vl 31.4 30^9~~ 17.3 0.7 0 0 1 h2DllB-v2.1 2.2 1.2 0 4.3 2.2 〇~5 ~ hl2H8B-vl 43.6 41.9 37.2 0.4 0 〇hl2H8B-v2.1 33.2 27.4 a 13.5 1.1 0.1 0.4 hl2H8C- Vl 46.3 49.4 43.2 0.2 0 〇hl2H8C-v2.1 58.7 53.6 46.4 0.4 0.3 0.3 Parental CHO or stably transfected CHO/EpCAM line as the target cell in the cytotoxicity test' test line in human PBMC at a ratio of 1:5 A series of dilutions in the presence and suspension of the bsAb medium. Target cell lysis was determined by flow cytometry in such a way that the target cells became a percentage of propidium iodide-positive after 20 hours of culture. The F ASC-type apoptosis assay and cell proliferation assay are used to determine the extent to which a purified bsAb or a medium suspension containing bsAb is specifically cytotoxic to human cancer cells in the presence of human PBMC. Effector cells were mixed with target cells at an effector-to-target ratio of 5:1 and cultured overnight with a series of diluted medium suspensions and purified bsAbs. For human pancreatic cancer (panc.〇2.〇3), lung cancer (NCI-H3 58) and multiple myeloid carcinoma cells (RPMI 8226), the dose response of target 107 201125583 cell apoptosis or growth inhibition is shown in the first 16 and 17

AbGn bsAbs之活體内效力研究 異種移植小鼠模式係用來評估活體内 bsAb hl2H8C-v2.1 與 hl2H8C-v2.1-sHSA 引導之 T 細胞的細 胞毒性。在bsAb治療之前,才將自健康血液捐贈者製 備之人類PBMC直接注入腫瘤中。在hPBMC腫瘤内注 射1小時後,接著將小鼠分成3組,其分別接受1 0 pg/ 小鼠的 hl2H8C-v2.1、hl2H8C-v2.1-sHSA 或载劑 (PBS)。治療連續重複8天。藉由卡鉗測量確定實體皮 下DLD-1腫瘤的自然生長並做為效力測量(第1 8圖)》 如第18圖所示,相對於pBs處理對照而言,對帶有已 經建立之DLD-1腫瘤的NOD-SCID小鼠施加bsAbs (hl2H8C-v2.1 與 hl2H8C-v2.1-sHSA)可有效地抑制腫 瘤生長。第22天’兩個治療組中之腫瘤平均體積為 494.3 mm3與890.0 mm3 ’明顯小於對照組的1438.5 mm3 〇 雖然已經藉由說明與實例(用於清楚理解)詳細描述某 些上述發明’但說明與實例並不應視為本發明之範圍的 限制因素。 【圖式簡單說明】 第1圖顯示人類EpCAM之胺基酸序列(序列編號:”。 108 201125583 第2圖顯示人類EpCAM之EGF-Ι區域(胺基酸24-63) (序列編號:2)之胺基酸序列與突變株中之取代胺基酸。 第3圖顯示鼠科抗體12H8變異區之序列。第3A圖顯 示重鏈變異區之胺基酸(序列編號:3)與核酸(序列編號: 4) 序列,而第3B圖顯示輕鏈變異區之胺基酸(序列編號: 5) 與核酸(序列編號:6)序列。CDR序列下有底線。 第4圖顯示鼠科抗體1G10變異區之序列。第4A圖顯 示重鏈變異區之胺基酸(序列編號:7)與核酸(序列編號: 8) 序列,而第4B圖顯示輕鏈變異區之胺基酸(序列編號: 9) 與核酸(序列編號:10)序列。CDR序列下有底線。 第5圖顯示鼠科抗體1F10變異區之序列。第5A圖顯 示重鏈變異區之胺基酸(序列編號:11)與核酸(序列編 號:丨2)序列,而第5B圖顯示輕鏈變異區之胺基酸(序列 編號:13)與核酸(序列編號:14)序列。CDR序列下有底 線。 # 第6圖顯示鼠科抗體2D11變異區之序列。第6A圖顯 示重鏈變異區之胺基酸(序列編號:15)與核酸(序列編 號:16)序列,而第6B圖顯示輕鏈變異區之胺基酸(序列 編號:17)與核酸(序列編號:18)序列。CDR序列下有底 線。 第7圖顯示鼠科抗體4d2變異區之序列。第7A圖顯 示重鏈變異區之胺基酸(序列編號:19)與核酸(序列編 號:20)序列,而第7B圖顯示輕鏈變異區之胺基酸(序列 編號:21)與核酸(序列編號:22)序列。CDR序列下有底 109 201125583 線。 第8圖顯示鼠科抗體6D11變異區之序列。第8A圖顯 示重鏈變異區之胺基酸(序列編號:23)與核酸(序列編 號:24)序列’而第8B圖顯示輕键變異區之胺基酸(序列 編號:25)與核酸(序列編號:26)序列。CDR序列下有底 線。 第9A圖與第9B圖顯示不具有HSA融合(第9A圖)以 及具有HSA融合(第9B圖)之抗-EpCAM與抗_CD3雙專 一性抗體的構築體。 第10A圖顯示hl2H8B VL之序列(胺基酸序列為序列編 號:29;核酸序列為序列編號:30)。第10B圖顯示Μ2Η8β V η之序列(胺基酸序列為序列編號:2 7 ;核酸序列為序 列編號:28)。 第11Α圖顯示hl2H8C VL之序列(胺基酸序列為序列編 號:33;核酸序列為序列編號:34)。第11B圖顯示hl2H8(: VH之序列(胺基酸序列為序列編號:3 1 ;核酸序列為# 列編號:32)。 第12A圖顯示h2DllB VL之序列(胺基酸序列為 ”々*夕丨』編 號:37;核酸序列為序列編號:38>第12B圖顯示h2DliB VH之序列(胺基酸序列為序列編號:35 ;核酸序列為# 列編號:36)。 第13A圖顯示抗-CD3 VL之序列(胺基酸序列為序歹! 號:57;核酸序列為序列編號:58)。第13B圄ss - 1 q翊不抗 VH之序列(胺基酸序列為序列編號:55 ;核酿 你馼厗列為序 110 201125583 列編號:56)。 第14圖顯示抗-EpCAM X抗-CD3 bsAbs之vl版本的 序列。第 14A 圖:vl 版本 hl2H8B bsAb (「hl2H8B-vl」) 之序列(胺基酸序列為序列編號:39 ;核酸序列為序列編 號:40)。第 14B 圖:vl 版本 hl2H8C bsAb (「hl2H8C-vl」) 之序列(胺基酸序列為序列編號:41 ;核酸序列為序列編 號:42)。第 14C 圖:vl 版本 h2DllB bsAb (「h2DllB-vl」) 之序列(胺基酸序列為序列編號:43 ;核酸序列為序列編 鲁 號:44)。 第15A圖顯示用於bsAb融合之全長白蛋白之序列(胺 基酸序列為序列編號:45 ;核酸序列為序列編號:46)。 第1 5B圖顯示用於bsAb融合之短型白蛋白之序列(胺基 酸序列為序列編號:47 ;核酸序列為序列編號:48)。 第16A圖與第16B圖顯示在人類PBMC存在下AbGn bsAbs在胰臟癌細胞Pane 02.03 (第16A圖)與多發性骨 ^ 髓癌細胞RPMI 8266 (第16B圖)中之細胞毒素活性(細胞 死亡的%)效應。 第17A圖與第17B圖顯示bsAbs在hPBMC存在下在 胰臟癌細胞 Pane 02.03 (第17A圖)與肺癌細胞 NCI-H358 (第17B圖)中之細胞生長抑制效應%。 第 18 圖顯示 hl2H8CX 抗-CD3 (hl2H8C-v2.1 與 hl2H8C-v2.1-sHSA)在人類DLD-1大腸癌異種移植模式 中之抗腫瘤活性(平均土SEM) (*相對於PBS對照組, p<0.05)。 111 201125583 【主要元件符號說明】 無In vivo efficacy studies of AbGn bsAbs Xenograft mouse models were used to assess the cytotoxicity of bsAb hl2H8C-v2.1 and hl2H8C-v2.1-sHSA-directed T cells in vivo. Human PBMC prepared from healthy blood donors were injected directly into the tumor prior to bsAb treatment. One hour after injection into the hPBMC tumor, the mice were then divided into 3 groups, which received 10 pg/mouse of hl2H8C-v2.1, hl2H8C-v2.1-sHSA or vehicle (PBS), respectively. The treatment was repeated for 8 consecutive days. Determining the natural growth of solid subcutaneous DLD-1 tumors by caliper measurement and as a measure of efficacy (Figure 18). As shown in Figure 18, with respect to the pBs treatment control, pair with established DLD-1 Tumor-bearing NOD-SCID mice exerting bsAbs (hl2H8C-v2.1 and hl2H8C-v2.1-sHSA) are effective in inhibiting tumor growth. On day 22, the average tumor volume in the two treatment groups was 494.3 mm3 and 890.0 mm3' significantly less than the 1438.5 mm3 of the control group. Although some of the above inventions have been described in detail by way of illustration and example (for clarity of understanding) The examples are not to be construed as limiting the scope of the invention. [Simple description of the diagram] Figure 1 shows the amino acid sequence of human EpCAM (sequence number: ". 108 201125583 Figure 2 shows the EGF-Ι region of human EpCAM (amino acid 24-63) (sequence number: 2) The amino acid sequence and the substituted amino acid in the mutant strain. Figure 3 shows the sequence of the murine antibody 12H8 variant region. Figure 3A shows the amino acid of the heavy chain variant region (SEQ ID NO: 3) and nucleic acid (sequence No.: 4) Sequence, and Figure 3B shows the sequence of amino acid (SEQ ID NO: 5) and nucleic acid (SEQ ID NO: 6) in the light chain variant region. The CDR sequence has a bottom line. Figure 4 shows the murine antibody 1G10 variant. Sequence of the region. Figure 4A shows the amino acid (SEQ ID NO: 7) and nucleic acid (SEQ ID NO: 8) sequences of the heavy chain variant region, and Figure 4B shows the amino acid of the light chain variant region (SEQ ID NO: 9 And the nucleic acid (SEQ ID NO: 10) sequence. The CDR sequence has a bottom line. Figure 5 shows the sequence of the murine antibody 1F10 variant region. Figure 5A shows the heavy chain variant region of the amino acid (SEQ ID NO: 11) and nucleic acid (SEQ ID NO: 丨 2) sequence, and Figure 5B shows the amino acid of the light chain variant region SEQ ID NO: 13) and nucleic acid (SEQ ID NO: 14) sequence. The CDR sequence has a bottom line. # Figure 6 shows the sequence of the murine antibody 2D11 variant region. Figure 6A shows the amino acid of the heavy chain variant region (SEQ ID NO: : 15) and the nucleic acid (SEQ ID NO: 16) sequence, and Figure 6B shows the amino acid (SEQ ID NO: 17) and nucleic acid (SEQ ID NO: 18) sequences of the light chain variant region. The CDR sequence has a bottom line. The figure shows the sequence of the murine antibody 4d2 variant region. Figure 7A shows the amino acid sequence of the heavy chain variant region (SEQ ID NO: 19) and the nucleic acid (SEQ ID NO: 20) sequence, while Figure 7B shows the amine of the light chain variant region. The base acid (SEQ ID NO: 21) and the nucleic acid (SEQ ID NO: 22) sequence. The CDR sequence has a bottom line 109 201125583 line. Figure 8 shows the sequence of the murine antibody 6D11 variant region. Figure 8A shows the amine of the heavy chain variant region. The base acid (SEQ ID NO: 23) and nucleic acid (SEQ ID NO: 24) sequence ' and Figure 8B shows the amino acid of the light bond variant (SEQ ID NO: 25) and nucleic acid (SEQ ID NO: 26) sequence. There is a bottom line. Figures 9A and 9B show no HSA fusion ( Figure 9A) and the construct of anti-EpCAM and anti-CD3 bispecific antibody with HSA fusion (Fig. 9B). Figure 10A shows the sequence of hl2H8B VL (amino acid sequence is SEQ ID NO: 29; nucleic acid sequence is SEQ ID NO: 30). Figure 10B shows the sequence of Μ2Η8β V η (amino acid sequence is SEQ ID NO: 2 7; nucleic acid sequence is SEQ ID NO: 28). Figure 11 shows the sequence of hl2H8C VL (amino acid sequence is SEQ ID NO: 33; nucleic acid sequence is SEQ ID NO: 34). Figure 11B shows the sequence of hl2H8 (: VH (amino acid sequence is SEQ ID NO: 3 1 ; nucleic acid sequence is #column number: 32). Figure 12A shows the sequence of h2DllB VL (amino acid sequence is "々* 夕丨 编号: 37; nucleic acid sequence is SEQ ID NO: 38 > Figure 12B shows the sequence of h2DliB VH (amino acid sequence is SEQ ID NO: 35; nucleic acid sequence is #column number: 36). Figure 13A shows anti-CD3 The sequence of VL (amino acid sequence is 歹!!: 57; nucleic acid sequence is SEQ ID NO: 58). 13B圄ss - 1 q翊 is not resistant to VH sequence (amino acid sequence is sequence number: 55; nuclear Stuffed as a sequence 110 201125583 column number: 56). Figure 14 shows the sequence of the vl version of anti-EpCAM X anti-CD3 bsAbs. Figure 14A: sequence of vl version hl2H8B bsAb ("hl2H8B-vl") (Amino acid sequence is SEQ ID NO: 39; nucleic acid sequence is SEQ ID NO: 40). Figure 14B: Sequence of vl version hl2H8C bsAb ("hl2H8C-vl") (amino acid sequence is SEQ ID NO: 41; nucleic acid sequence For sequence number: 42). Figure 14C: Sequence of vl version h2DllB bsAb ("h2DllB-vl") (Amino acid sequence is SEQ ID NO: 43; nucleic acid sequence is SEQ ID NO: 44). Figure 15A shows the sequence of full-length albumin for bsAb fusion (amino acid sequence is SEQ ID NO: 45; nucleic acid sequence is SEQ ID NO: 46). Figure 15B shows the sequence of short albumin for bsAb fusion (amino acid sequence is SEQ ID NO: 47; nucleic acid sequence is SEQ ID NO: 48). Figures 16A and 16B show The effect of AbGn bsAbs on cytotoxic activity (% of cell death) in pancreatic cancer cells Pane 02.03 (Fig. 16A) and multiple bone marrow cancer cells RPMI 8266 (Fig. 16B) in the presence of human PBMC. Figure 17A Figure 17B shows the % growth inhibition effect of bsAbs in pancreatic cancer cells Pane 02.03 (Fig. 17A) and lung cancer cells NCI-H358 (Fig. 17B) in the presence of hPBMC. Figure 18 shows hl2H8CX anti-CD3 ( Antitumor activity of hl2H8C-v2.1 and hl2H8C-v2.1-sHSA) in human DLD-1 colorectal cancer xenograft mode (mean soil SEM) (* relative to PBS control group, p<0.05). 111 201125583 Main component symbol description]

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Claims (1)

201125583 七、申請專利範圍: 1. 一種單離單株抗體,該抗體專一性結合人類EpC AM 之胺基酸24-63中之一表位,其中該單獨抗體在試管内 結合人類癌症細胞之細胞表面上之表位後引發該癌症細 胞之細胞凋亡,且該單獨抗體對人類肺癌細胞株 NCI-H358的細胞凋亡-引發活性係至少約一選自12H8、 1F10、1G10、2D11、6D11與4D2所組成之群組的抗體 之活性的90% ,其中該細胞凋亡-引發活性係藉由以一 約10 ug/ml濃度的抗體培養人類肺癌細胞株約16-20小 時加以測量。 2. 如申請專利範圍第1項所述之抗體,其中該抗體對人 類EpCAM之胺基酸24-63中之表位的結合取決於選自下 列構成群組之胺基酸殘基的存在: (1) 人類 EpCAM 之殘基 Q24、E25 與 N42 ; (2) 人類 EpCAM 之殘基 Q24、E25、E26、N37、N4 卜 Q47 與 T49 ; (3) 人類 EpCAM 之殘基 E25、V40 與 R44 ; (4) 人類EpCAM之殘基N41、N43與R44 ;及 (5) 人類 EpCAM 之殘基 Q24、E25、A35、F39、V40、N41、 R44 、 Q45 與 Q47 。 3. 如申請專利範圍第1項或第2項任一項所述之抗體, 113 201125583 該抗體引發選自下列所構成之群組的人類癌症細胞之細 胞凋亡:乳癌細胞、大腸直腸癌細胞、胃癌細胞、肺癌 細胞、前列腺癌細胞、騰臟癌細胞、咽喉癌細胞與印巢 癌細胞。 4. 一種專一性結合人類EpCAM之單離單株抗體’其包 括三個序列編號:3之重鏈互補決定區與三個序列編號: 5之輕鏈互補決定區。 5. 如申請專利範圍第4項所述之抗體,其中該抗體包括 一包括序列編號:3之胺基酸序列的重鏈變異區以及一 包括序列編號:5之胺基酸序列的輕鏈變異區。 6. 如申請專利範圍第5項所述之抗體,更包括來自一人 類抗體之一重鏈恆定區與一輕鏈恆定區。 7. 如申請專利範圍第4-6項任一項所述之抗體,其中該 抗體係一擬人化抗體。 8· 一種專一性結合人類EpCAM之單離單株抗體,其包 括—包括序列編號:3之胺基酸序列的重鏈變異區或一 包括序列編號:5之胺基酸序列的輕鏈變異區。 9· 一種專一性結合人類epCam之單離單株抗體,其包 114 201125583 括二個序列編说.7之重鍵互補決定區與三個序列編號: 9之輕鏈互補決定區。 10_如申請專利範圍第9項所述之抗體,其中該抗體包 括一包括序列編號:7之胺基酸序列的重鍵變異區以及 一包括序列編號:9之胺基酸序列的輕鏈變異區。 U.如申請專利範圍第1〇項所述之抗體,更包括來自— 人類抗體之一重鏈恆定區與一輕鏈恆定區。 12. 如申請專利範圍第9-11項任一項所述之抗體,其中 該抗體係一擬人化抗體。 13. —種專一性結合人類epCAM之單離單株抗體,其包 括一包括序列編號:7之胺基酸序列的重鍵變異區或一 φ 包括序列編號:9之胺基酸序列的輕鏈變異區。 14. 一種專一性結合人類jgpCAM之單離單株抗體,其包 括二個序列編號:11之重键互補決定區與三個序列編 號:13之輕鏈互補決定區。 如申請專利範圍第14項所述之抗體,其中該抗體包 括一包括序列編號:11之胺基酸序列的重鏈變異區以及 一包括序列編號:13之胺基酸序列的輕鏈變異區。 115 201125583 更包括來自一 μ.如申請專利範圍第 15項所述之抗體, 人類抗體之一重鏈忮定 與一輕鏈怪定區 如申請專利範圍第ι4_ΐ6 該抗體係一擬人化抗艘。 項任一項所述之抗體,其中 種專…味L °人_ EPCAM之單離單株抗體,立包 括一包括序列編號:11之胺基酸序列的重鍵變異區:戈一 序歹J編號.13之胺基酸序列的輕鏈變異區。 19. 一種專一性結合人類Epc AM之單離單株抗體,其包 括二個序列編號:15之重鏈互補決定區與三個序列編 號:丨7之輕鏈互補決定區。 20. 如申請專利範圍第丨9項所述之抗體,其中該抗體包 括包括序列編號:15之胺基酸序列的重鍵變異區以及 一包括序列編號:1 7之胺基酸序列的輕鏈變異區。 21. 如申請專利範圍第20項所述之抗體,更包括來自一 人類抗體之一重鏈恆定區與一輕鏈恆定區。 22.如申請專利範圍第19-21項任一項所述之抗體,其中 該抗體係一擬人化抗體。 116 201125583 23. —種專一性結合人_ EpCAM之單離單株抗體,其包 括一包括序列編號:15之胺基酸序列的重鏈變異區或一 包括序列編號:17之胺基酸序列的輕鏈變異區。 24· —種專一性結合人類epCAM之單離單株抗體,其包 括三個序列編號:19之重鏈互補決定區與三個序列編 號:21之輕鏈互補決定區。 • 25. 如申請專利範圍第24項所述之抗體,其中該抗體包 括一包括序列編號:1 9之胺基酸序列的重鏈變異區以及 一包括序列編號:2 1之胺基酸序列的輕鏈變異區。 26. 如申請專利範圍第25項所述之抗體,更包括來自一 人類抗體之一重鏈恒定區與一輕鏈恆定區。 27_如申請專利範圍第24-26項任一項所述之抗體,其中 該抗體係一擬人化抗體。 28. —種專一性結合人類epCAM之單離單株抗體,其包 括一包括序列編號:19之胺基酸序列的重鏈變異區或— 包括序列編號:21之胺基酸序列的輕鏈變異區。 29. —種專一性結合人類EpCAM之單離單株抗體,其包 117 201125583 括二個序列編號:23之重鏈互補決定區與三個序列編 號:25之輕鏈互補決定區。 30-如申請專利範圍第29項所述之抗體,其中該抗體包 括包括序列編號:23之胺基酸序列的重鏈變異區以及 一包括序列編號:25之胺基酸序列的輕鏈變異區。 31.如申請專利範圍第3〇項所述之抗體,更包括來自— 人類抗體之一重鏈恆定區與一輕鏈恆定區。 3 2.如申請專利範圍第29_31項任一項所述之抗體,其中 該抗體係一擬人化抗體。 33. 種專一性結合人類EpC AM之單離單株抗體,其包 括包括序列編號.23之胺基酸序列的重鍵變異區或一 包括序列編號:25之胺基酸序列的輕鍵變異區。 34. -種單鏈雙專一性抗體,其包括⑷一第—抗原結合 區域,專一性結合人類EpCAM之胺基酸24·63中之一表 位,其中該第一抗原結合區域包括一重鏈變異區 (VHEpCAM)與一輕鏈變異區(VlEpCAM);及一第二抗 原結合區域’專一性結合人類CD3抗原,其中該第二抗 原結合區域包括一重鏈變異區(VhCD3)與一輕鏈變異區 (VLCD3),其中該些變異區由N•端至c_端之配置順序為 118 201125583 VLEpCAM-VHEpCAM-VHCD3-VLCD3。 35. 如申請專利範圍第34項所述之雙專一性抗體,更在 VLEPCAM 與 VHEPCAM 之間、vHEpCAM 與 VhCD3 之間、 與/或VHCD3與VLCD3之間包括一胜肽連接子。 36. 如申請專利範圍第35項所述之雙專一性抗體,其中 該VLEPCAM與VHEPCAM之間的胜肽連接子包括序列編 號:49之胺基酸序列。 37. 如申請專利範圍第35項所述之雙專一性抗體,其中 該VHCD3與VLCD3之間的胜肽連接子包括序列編號: 53之胺基酸序列。 38. 如申凊專利範圍第35項所述之雙專一性抗體,其中 該VHEPCAM與VHCD3之間的胜肽連接子包括序列編 號:5 1之胺基酸序列。 39. 如申請專利範圍第34_38項任一項所述之雙專一性 抗體,其中該第一抗原結合區域包括選自下列所構成之 群組的 VHEpCAM 與 VLEpCAM : ⑷VHEPCAM包括三個序列編號:3之CDR,而VLEpCAM 包括三個序列編號:5之CDR ; (b) VHEPCAM包括三個序列編號:7之CDR,而vLEpCAM 119 201125583 包括三個序列編號:9之CDR ; (c) VHEpCAM包括三個序列編號:11之CDR,而 VLEpCAM包括三個序列編號:13之CDR ; (d) VHEpCAM包括三個序列編號:15之CDR,而 VLEpCAM包括三個序列編號:17之CDR ; (e) VHEpCAM包括三個序列編號:19之CDR,而 VLEpCAM包括三個序列編號:21之CDR ;及 (f) VHEpCAM包括三個序列編號:23之CDR,而 ® VLEpCAM包括三個序列編號:25之CDR。 40. 如申請專利範圍第34-39項任一項所述之雙專一性 抗體,其中該VHEpCAM與該VLEpCAM係擬人化。 41. 如申請專利範圍第34-40項任一項所述之雙專一性 抗體,其中該第一抗原結合區域包括選自下列所構成之 φ 群組的 VHEpCAM 與 VHEpCAM : (a) VHEpCAM包括序列編號:27之胺基酸序列,而 VLEpCAM包括序列編號:29之胺基酸序列; (b) VHEpCAM包括序列編號:31之胺基酸序列,而 VLEpCAM包括序列編號:33之胺基酸序列;及 (c) VHEpCAM包括序列編號:35之胺基酸序列,而 VLEpCAM包括序列編號:37之胺基酸序列。 42. 如申請專利範圍第34-41項任一項所述之雙專一性 120 201125583 抗體’其中該第二抗原結合區域專一性結合CD3g、CD3Y 或CD38鏈。 43. 如申請專利範圍第34-42項任一項所述之雙專一性 抗體’其中該第二抗原結合區域包括該VhCD3與該 VLCD3 ’其中該VHCD3包括序列編號:55之胺基酸序 列,且其中該VLCD3包括序列編號:57之胺基酸序列。 44. 如申請專利範圍第34-43項任一項所述之雙專一性 抗體,更在該雙專一性抗體之(:_端包括一人類血清白蛋 白序列(HSA)。 45. 如申凊專利範圍第44項所述之雙專一性抗體,其中 該人類企清白蛋白序列包括序列編號:45或序列編號: 47之胺基酸序列。 46. 如申請專利範圍第44項所述之雙專一性抗體’更在 該VLCD3與該人類血清白蛋白序列之間包括一胜肽連接 子。 47.如申請專利範圍第46項所述之雙專一性抗體,其中 該VLCD3與s亥人類血清白蛋白序列之間的胜肽連接子包 括序列編號:5 1之胺基酸序列。 121 201125583 48.如申請專利範圍第34_47項任一項所述之雙專一性 抗體’該抗體包括選自序列編號:39、序列編號:41與 序列編號:43所構成之群組的胺基酸序列。 49·種藥學組合物’其包括申請專利範圍第1_48項任 一項之抗體以及一藥學可接受載體。 50.—種單離聚核苷酸,其包括一編碼申請專利範圍第 1 -48項任一項之抗體的核酸序列。 51· —種載體’其包括申請專利範圍第5〇項之聚核苷酸β 52. —種宿主細胞’其包括申請專利範圍第5丨項之載體。 53. —種產生一抗體之方法,其包括培養可產生該核酸所 編碼之抗體的申請專利範圍第52項之宿主細胞並自該 細胞培養基回收該抗體。 54. —種篩選一在試管内專一性結合人類EpCAM並引 發人類癌症細胞之細胞凋亡之抗體的方法,其包括: (a) 在試管内以一有效濃度的一專一性結合人類 EpCAM之單獨單株抗體培養一癌症細胞; (b) 測量該單獨單株抗體所引發之癌症細胞之細胞凋 亡;及 122 201125583 ()右相對於一對照抗體而言’該抗體具有較高的細 胞/周亡-引發活性的話,選擇該抗體。 55·如中料利範圍第54項料之方法,其巾細胞洞亡· 引發活性係'藉由該癌症細胞之Αηη_ w丙咬染 色加以測量0 ' :申π專利範圍第54項或55項任一項所述之方法, 其中該癌症細胞係選自下列所構成之群組:一乳癌細 胞大腸直腸癌細胞、'胃癌細胞、一肺癌細胞、_ 前列腺癌細胞、一胰臟癌細胞、一咽喉癌細胞與一卵巢 癌細胞》 57. 如申請專利範圍帛54·56項任一項所述之方法,其中 選擇-細胞〉周亡-引發活性為選自刪、ifi〇 igi〇、 2D 6D11與4D2所構成之群組的抗體的至少9〇%之 抗體。 58. -種治療—個體中之一癌症或延遲癌症發展之方 法’其包括對該個體施加-有效劑量的中請專利範圍第 1-48項任一項之抗體。 59. 如申請專利範圍第58項所述之方法,其中該癌症係 選自下列所構成之群組:乳癌、大腸直腸癌、胃癌、肺 123 201125583 癌前列腺癌、胰臟癌、咽喉癌與卵巢癌。 申叫專利範圍第58項或59項任一項所述之方法, 更包括對該個體施加—第二抗_癌劑。 6 1 -/&gt;L- rjj 上 .曱請專利範圍第60項所述之方法,其中該第二抗_ 癌劑係一化療劑。 62. 如申晴專利範圍第μ項所述之方法,其中該第二抗· 癌劑係奧沙利鉑。 63. 種套組,其包括申請專利範圍第1-48項任何—項 之抗體。 64·如申請專利範圍第63項所述之套組,更包括對—個 體施加一有效劑量的抗體以治療該個體中之癌症的用法 說明。 65. 如申請專利範圍第63項或64項任一項所述之套組, 更包括一第二抗-癌劑。 66. 如申請專利範圍第65項所述之套組,更包括對—個 體同時施加該抗體與該第二抗-癌劑以治療該個體中之 癌症的用法說明》 124201125583 VII. Scope of application: 1. An isolated monoclonal antibody that specifically binds to one of the amino acids 24-63 of human EpC AM, wherein the individual antibody binds to cells of human cancer cells in vitro. The epitope on the surface induces apoptosis of the cancer cell, and the apoptosis-initiating activity of the single antibody against the human lung cancer cell line NCI-H358 is at least about one selected from the group consisting of 12H8, 1F10, 1G10, 2D11, 6D11 and 90% of the activity of the antibody of the group consisting of 4D2, wherein the apoptosis-initiating activity is measured by culturing the human lung cancer cell line with an antibody at a concentration of about 10 ug/ml for about 16-20 hours. 2. The antibody of claim 1, wherein the binding of the antibody to an epitope in amino acid 24-63 of human EpCAM is dependent on the presence of an amino acid residue selected from the group consisting of: (1) Residues of human EpCAM Q24, E25 and N42; (2) Residues of human EpCAM Q24, E25, E26, N37, N4, Q47 and T49; (3) Residues E25, V40 and R44 of human EpCAM; (4) Residues of human EpCAM N41, N43 and R44; and (5) Residues of human EpCAM Q24, E25, A35, F39, V40, N41, R44, Q45 and Q47. 3. The antibody of any one of claims 1 or 2, 113 201125583 The antibody elicits apoptosis of a human cancer cell selected from the group consisting of breast cancer cells, colorectal cancer cells , gastric cancer cells, lung cancer cells, prostate cancer cells, sputum cancer cells, throat cancer cells and printed cancer cells. 4. A monoclonal antibody that specifically binds to human EpCAM' which comprises three SEQ ID NO: 3 heavy chain complementarity determining regions and three SEQ ID NO: 5 light chain complementarity determining regions. 5. The antibody of claim 4, wherein the antibody comprises a heavy chain variation region comprising an amino acid sequence of SEQ ID NO: 3 and a light chain variation comprising an amino acid sequence of SEQ ID NO: 5. Area. 6. The antibody of claim 5, which further comprises a heavy chain constant region and a light chain constant region from one human antibody. 7. The antibody of any one of claims 4-6, wherein the anti-system is an anthropomorphic antibody. 8. A monoclonal antibody that specifically binds to human EpCAM, comprising: a heavy chain variant region comprising an amino acid sequence of SEQ ID NO: 3 or a light chain variant region comprising an amino acid sequence of SEQ ID NO: 5. . 9. A monoclonal antibody that specifically binds to human epCam, and its package 114 201125583 includes two sequences. The heavy bond complementarity determining region of 7 and the three sequence number: 9 light chain complementarity determining region. The antibody of claim 9, wherein the antibody comprises a heavy chain variation region comprising an amino acid sequence of SEQ ID NO: 7 and a light chain variation comprising an amino acid sequence of SEQ ID NO: 9. Area. U. The antibody of claim 1, wherein the antibody comprises a heavy chain constant region and a light chain constant region. 12. The antibody of any one of claims 9-11, wherein the anti-system is an anthropomorphic antibody. 13. An isolated antibody that specifically binds to human epCAM, comprising a heavy chain variant comprising the amino acid sequence of SEQ ID NO: 7 or a light chain comprising an amino acid sequence of SEQ ID NO: 9. Variation zone. 14. A monoclonal antibody that specifically binds to human jgpCAM, comprising two SEQ ID NO: 11 heavy bond complementarity determining regions and three sequence numbers: 13 light chain complementarity determining regions. The antibody of claim 14, wherein the antibody comprises a heavy chain variant region comprising the amino acid sequence of SEQ ID NO: 11 and a light chain variant region comprising the amino acid sequence of SEQ ID NO: 13. 115 201125583 More includes an antibody from a μ. As claimed in claim 15, one of the human antibody heavy chain binding and a light chain strange region, such as the patent application scope ι4_ΐ6, the anti-system is anthropomorphic. The antibody according to any one of the preceding claims, wherein the individual antibody of the L ° human _ EPCAM comprises a heavy chain variation region comprising the amino acid sequence of SEQ ID NO: 11: Ge Yi Xu The light chain variant region of the amino acid sequence numbered 13. 19. A monoclonal antibody that specifically binds to human Epc AM, comprising two SEQ ID NO: 15 heavy chain complementarity determining regions and three sequence numbers: 轻7 light chain complementarity determining region. 20. The antibody of claim 9, wherein the antibody comprises a heavy bond variant comprising the amino acid sequence of SEQ ID NO: 15 and a light chain comprising the amino acid sequence of SEQ ID NO: 17. Variation zone. 21. The antibody of claim 20, further comprising a heavy chain constant region and a light chain constant region from a human antibody. The antibody of any one of claims 19 to 21, wherein the anti-system is an anthropomorphic antibody. 116 201125583 23. An individual antibody that binds to human _ EpCAM, comprising a heavy chain variant comprising the amino acid sequence of SEQ ID NO: 15 or an amino acid sequence comprising SEQ ID NO: 17. Light chain variation region. 24. A monoclonal antibody that specifically binds to human epCAM, comprising three SEQ ID NO: 19 heavy chain complementarity determining regions and three sequence numbers: 21 light chain complementarity determining regions. The antibody of claim 24, wherein the antibody comprises a heavy chain variation region comprising the amino acid sequence of SEQ ID NO: 19 and an amino acid sequence comprising the sequence number: 2 1 Light chain variation region. 26. The antibody of claim 25, further comprising a heavy chain constant region and a light chain constant region from a human antibody. The antibody of any one of claims 24 to 26, wherein the anti-system is an anthropomorphic antibody. 28. A monoclonal antibody that specifically binds to human epCAM, comprising a heavy chain variant comprising the amino acid sequence of SEQ ID NO: 19 or - a light chain variant comprising the amino acid sequence of SEQ ID NO: 21. Area. 29. A monoclonal antibody that specifically binds to human EpCAM, and its composition 117 201125583 comprises two heavy chain complementarity determining regions of SEQ ID NO: 23 and three light chain complementarity determining regions: 30. The antibody of claim 29, wherein the antibody comprises a heavy chain variation region comprising the amino acid sequence of SEQ ID NO: 23 and a light chain variant region comprising the amino acid sequence of SEQ ID NO: 25. . 31. The antibody of claim 3, further comprising a heavy chain constant region and a light chain constant region from one of the human antibodies. The antibody according to any one of claims 29 to 31, wherein the anti-system is an anthropomorphic antibody. 33. A monoclonal antibody that specifically binds to human EpC AM, comprising a heavy bond variant comprising an amino acid sequence of SEQ ID NO: 23. or a light bond variant comprising an amino acid sequence of SEQ ID NO: 25. . 34. A single-chain, bispecific antibody comprising (4) a first antigen-binding region, specifically binding to an epitope of amino acid 24.63 of human EpCAM, wherein the first antigen binding region comprises a heavy chain variation The region (VHEpCAM) and a light chain variant region (VlEpCAM); and a second antigen binding region specifically bind to the human CD3 antigen, wherein the second antigen binding region comprises a heavy chain variation region (VhCD3) and a light chain variation region (VLCD3), wherein the order of the variation regions from the N• terminal to the c_ terminal is 118 201125583 VLEpCAM-VHEpCAM-VHCD3-VLCD3. 35. A bispecific antibody as described in claim 34, further comprising a peptide linker between VLEPCAM and VHEPCAM, between vHEpCAM and VhCD3, and/or between VHCD3 and VLCD3. 36. The bispecific antibody according to claim 35, wherein the peptide linker between the VLEPCAM and the VHEPCAM comprises the amino acid sequence of sequence number: 49. 37. The bispecific antibody according to claim 35, wherein the peptide linker between the VHCD3 and VLCD3 comprises the amino acid sequence of SEQ ID NO: 53. 38. The bispecific antibody according to claim 35, wherein the peptide linker between the VHEPCAM and VHCD3 comprises the amino acid sequence of the sequence number: 51. The bispecific antibody according to any one of claims 34 to 38, wherein the first antigen binding region comprises VHEpCAM and VLEpCAM selected from the group consisting of: (4) VHEPCAM comprises three sequence numbers: 3 CDR, while VLEpCAM includes three CDRs with SEQ ID NO: 5; (b) VHEPCAM includes three CDRs with SEQ ID NO: 7 and vLEpCAM 119 201125583 includes three CDRs with SEQ ID NO: 9; (c) VHEpCAM includes three sequences Number: 11 CDR, while VLEpCAM includes three CDRs with sequence number: 13; (d) VHEpCAM includes three CDRs with SEQ ID NO: 15 and VLEpCAM includes three CDRs with SEQ ID NO: 17; (e) VHEpCAM includes three SEQ ID NO: 19 CDRs, while VLEpCAM includes three CDRs of SEQ ID NO: 21; and (f) VHEpCAM includes three CDRs of SEQ ID NO: 23, and ® VLEpCAM includes three CDRs of SEQ ID NO: 25. 40. The bispecific antibody of any one of claims 34-39, wherein the VHEpCAM is anthropomorphized with the VLEpCAM system. The bispecific antibody according to any one of claims 34 to 40, wherein the first antigen-binding region comprises VHEpCAM and VHEpCAM selected from the group consisting of: (a) VHEpCAM comprises a sequence ID: 27 amino acid sequence, and VLEpCAM includes SEQ ID NO: 29 amino acid sequence; (b) VHEpCAM includes SEQ ID NO: 31 amino acid sequence, and VLEpCAM includes SEQ ID NO: 33 amino acid sequence; And (c) VHEpCAM includes the amino acid sequence of SEQ ID NO: 35, and VLEpCAM includes the amino acid sequence of SEQ ID NO: 37. 42. The dual specificity 120 201125583 antibody as claimed in any one of claims 34 to 41 wherein the second antigen binding region specifically binds to a CD3g, CD3Y or CD38 chain. 43. The bispecific antibody as claimed in any one of claims 34 to 42 wherein the second antigen binding region comprises the VhCD3 and the VLCD3 ' wherein the VHCD3 comprises the amino acid sequence of SEQ ID NO: 55, And wherein the VLCD3 comprises the amino acid sequence of SEQ ID NO: 57. 44. The bispecific antibody according to any one of claims 34-43, further comprising a human serum albumin sequence (HSA) in the bispecific antibody (45). The bispecific antibody according to the invention of claim 44, wherein the human albumin sequence comprises the amino acid sequence of SEQ ID NO: 45 or SEQ ID NO: 47. 46. The antibody is further comprising a peptide linker between the VLCD3 and the human serum albumin sequence. 47. The bispecific antibody according to claim 46, wherein the VLCD3 and the human serum albumin The peptide linker between the sequences includes the amino acid sequence of SEQ ID NO: 51. The method of claim </ RTI> </ RTI> </ RTI> <RTIgt; 39. Amino acid sequence of the group consisting of 41 and SEQ ID NO: 43. 49. A pharmaceutical composition comprising the antibody of any one of claims 1 to 48 and a pharmaceutically acceptable carrier. .- An exonuclease comprising a nucleic acid sequence encoding an antibody according to any one of claims 1 to 48. 51. A vector comprising the polynucleotide β 52 of claim 5 of the patent application. - a host cell which comprises a vector of claim 5 of the patent application. 53. A method of producing an antibody comprising culturing a host cell of claim 52 which produces an antibody encoded by the nucleic acid and The cell culture medium recovers the antibody. 54. A method for screening an antibody that specifically binds to human EpCAM in a test tube and elicits apoptosis of a human cancer cell, comprising: (a) an effective concentration of one in a test tube Specifically, a cancer cell is cultured in combination with a single antibody of human EpCAM; (b) measuring apoptosis of cancer cells induced by the monoclonal antibody alone; and 122 201125583 () right relative to a control antibody If the cell has a high cell/week-initiation activity, the antibody is selected. 55. As in the method of the 54th item of the material range, the cell death cell triggers the active system 'by the cancer The method of any one of the inventions, wherein the cancer cell line is selected from the group consisting of: a breast cancer cell, a colorectal cancer cell, and a method of any one of the following: , a method of any one of the inventions, wherein the method of claim 5, wherein the method of claim 5, wherein the method of claim 5, wherein The selection-cell>peripheral-priming activity is at least 9% antibody of an antibody selected from the group consisting of deletion, ifi〇igi〇, 2D 6D11 and 4D2. 58. A method of treatment - one of the individual's cancers or a method of delaying the progression of the cancer, which comprises administering to the individual an effective amount of the antibody of any of the above-mentioned patents. 59. The method according to claim 58 wherein the cancer is selected from the group consisting of breast cancer, colorectal cancer, stomach cancer, lung 123 201125583 cancer prostate cancer, pancreatic cancer, throat cancer and ovary cancer. The method of any of claims 58 or 59, further comprising applying a second anti-cancer agent to the individual. 6 1 - / &gt; L-rjj. The method of claim 60, wherein the second anti-cancer agent is a chemotherapeutic agent. 62. The method of claim 1, wherein the second anticancer agent is oxaliplatin. 63. A kit comprising antibodies to any of the items in claims 1-48. 64. The kit of claim 63, further comprising instructions for administering an effective amount of the antibody to the individual to treat the cancer in the individual. 65. The kit of any of claims 63 or 64, further comprising a second anti-cancer agent. 66. The kit of claim 65, further comprising the use of the antibody and the second anti-cancer agent simultaneously to treat cancer in the individual.
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